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Neurological symptoms are particularly characteristic and may include: Paraesthesia (pins and needles) in the hands and feet Numbness or altered sensation in the extremities Difficulty with balance and coordination, often due to spinal cord involvement (subacute combined degeneration) Memory problems and cognitive impairment Mood changes, including depression and irritability Visual disturbances (rare and usually in advanced deficiency) Haematological manifestations commonly present as symptoms of anaemia: Persistent fatigue and weakness Breathlessness, particularly on exertion Palpitations or rapid heartbeat Pale or jaundiced (yellowish) skin Glossitis (sore, red tongue) Mouth ulcers Additional signs may include: Unexplained weight loss Diarrhoea or constipation Loss of appetite Muscle weakness The severity and combination of symptoms vary considerably between individuals

Historically, it was assumed that vitamin B12 toxicity is virtually impossible

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It's a genuine medical issue that can harm nerve health, affect memory, and disrupt red blood cell production, which is why consistent, professional management is so important

If you believe you haveor have been told by a healthcare professional that you havea B12 deficiency, you must seek medical advice from a qualified medical practitioner