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When B12 levels are low, the signs can be varied: Anemia: fatigue, weakness, pale skin, and dizziness Fatigue: a deep-seated weariness that doesn't improve with rest Nerve Damage: tingling or numbness in hands and feet, balance problems, and memory loss (seek medical advice promptly) Mood Disturbances: depression, irritability, and personality changes Who Is Most at Risk for B12 Deficiency

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"Travel" including a description by Mary Townsend of a carriage ride in a coach drawn by four prancing horses; as well as letters from John Kirk Townsend describing his 1840 trip from Little Rock to Hot Springs, Arkansas