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Common signs and symptoms include the following: Cognitive issues, especially those that deal with memory Extreme fatigue Depression Frequent headaches Problems with maintaining balance Changes in vision Megaloblastic anemia Heart palpitations Pale skin Weight loss Infertility Numbness and tingling in the hands and feet A sore tongue Low appetite Constipation Vitamin B12 Deficiency Risk Factors You have a higher risk of developing vitamin B12 deficiency if you have specific health problems

Mar 20 2021;10(3)doi:10.3390/biology10030241

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In expressions (15), l is defined as any arbitrary one-dimensional length of the brain (for example, rostro-caudal length of the brain), used only for defining the one-dimensional proportion (l2/l1) between two observed brains (or veins or heart) and as an inter-factor (and because of that, it is not measured [6]) for deriving final expression (6)