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You may feel tired or irritable, with low energy, muscle weakness and trouble walking, pins and needles or numbness, a sore mouth, or have problems with memory, confusion, or depression

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Symptoms of a B12 deficiency include: Excessive fatigue Nerve problems (pain or abnormal sensations like numbness or tingling) Glossitis (tongue inflammation) Low numbers of white blood cells and red blood cells Vitamin B12 deficiency can be diagnosed with a blood test