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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

Each feature was assigned a score from 0 to 3 based on its absence (0) or presence to a mild (1), moderate (2), or severe (3) degree, and a final histology score was determined (Murao et al., 2003)

Nature Genetics, 30 (4), 406410

Curr Opin Immunol 2011

Learn the symptoms and have some medications on hand as well as either a blood meter or urine strips - being prepared gives you the best chance for a successful outcome for both the doe and her kids