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Dizziness and fatigue Memory loss, difficulty in concentrating, and cognitive difficulties Anemia or iron deficiency anemia Muscle cramps Shortness of breath Erratic moods and possible signs of mental health disorders such as depression Irregular or halted menstruation Inflamed tongue Low energy Hair Your Vitamin B12 deficiency may also be a symptom in itself of other diseases such as SIBO ( Small Intestinal Bacterial Overgrowth ) or other gut-related disorders

Altered gut microbiota in Rett syndrome

[30] The main type of vitamin B 12 deficiency anemia is pernicious anemia, [31] characterized by a triad of symptoms: Anemia with bone marrow promegaloblastosis (megaloblastic anemia)

The ways in which PPIs affect the gut microbiota are multifaceted, which may explain their extensive impact (Figure 1)