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Early & Common Symptoms Persistent fatigue and weakness Pale or yellowish skin Shortness of breath, especially on exertion Low energy levels and reduced stamina Neurological Symptoms Tingling or numbness in the hands and feet Balance and coordination problems Memory issues and difficulty concentrating Confusion or brain fog Depression, anxiety, or mood changes Mouth and Tongue Symptoms Sore or burning tongue Redness of the mouth and tongue Mouth ulcers Smooth, swollen, or glossy-looking tongue Digestive Symptoms Loss of appetite Unexplained weight loss Diarrhea or loose stools Important note: If vitamin B12 deficiency is left untreated for a long time, nerve damage can become permanent