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Keep in mind that the clinical manifestations of vitamin B12 deficiency differ depending on the degree and duration of deficiency, but some of the most common symptoms of a B12 deficiency include 4 : Anemia Chronic fatigue Shortness of breath Heart palpitations Pallor Skin hyperpigmentation Glossitis Infertility Osteoporosis Sensory loss Abnormal balance or reflexes Cognitive impairment Memory loss Older adults are at a higher risk for vitamin B12 deficiency, as are those on a vegetarian or vegan diet, as dietary B12 is found in animal products

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One of the case studies in which training programs were initiated by the United Nations to tackle the environmental issue of using mercury is a 3-year campaign from 2005 to 2008 in Tanzania, which is one of the fastest-growing mining countries in the last few decades

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