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Common manifestations include: Haematological symptoms : Fatigue, weakness, pallor, and shortness of breath due to anaemia Neurological symptoms : Paraesthesia (pins and needles) in hands and feet, numbness, difficulty walking, balance problems, and memory disturbance Psychological symptoms : Depression, irritability, confusion, and in severe cases, psychosis Oral symptoms : Glossitis (sore, red tongue), mouth ulcers General symptoms : Loss of appetite, weight loss, diarrhoea Neurological complications can become irreversible if left untreated , particularly subacute combined degeneration of the spinal cord, which affects the dorsal and lateral columns

What is the objective of the mass balance study

The role of the gut microbiota in nutrition and health