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The presence of vitamin B12 deficiency can manifest through a number of unpleasant symptoms, such as: fatigue and lack of energy irregular heartbeat or palpitations loss of appetite and weight loss depression and irritability headaches and feeling of pins and needles mental declines in memory, judgement, and comprehension disturbed or blurry vision changes in motor skills, like the way you walk changes in skin colour, such as paleness or a yellow tinge tongue redness and soreness Some of these symptoms can occur in people who have low or deficient levels of vitamin B12 but have not yet developed severe cases of anaemia

Ethics declarations Ethical approval This study was conducted in accordance with the ethical standards of the Declaration of Helsinki

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Vitamin deficiency anaemia is a type of anaemia that occurs when your body doesn't have enough healthy red blood cells due to low levels of certain vitamins, particularly vitamin B12 and folate (vitamin B9)