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Pernicious anemia symptoms: Symptoms of B12 deficiency can include:[ref] fatigue, paleness, shortness of breath (anemia symptoms) headaches, dizziness tingling in the extremities trouble walking or uncontrollable muscle movements cognitive issues, brain fog depression or irritability intestinal issues glossitis Vitamin B12 (cobalamin) is found in animal proteins such as meat and eggs and in supplement forms

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Understanding the limitations of this data helps set realistic expectations about long-term use

A Simple Indicator: The color of your first-morning urine is a direct and immediate signal of your hydration status