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Some of the common signs include: Persistent fatigue or weakness Pale or yellowish skin Numbness or tingling in hands and feet Memory issues or brain fog Shortness of breath or dizziness Sore tongue or mouth ulcers Skin pigmentation changes or vitiligo-like patches If youre experiencing any combination of these symptoms, especially along with skin discoloration, its essential to get tested for Vitamin B12 deficiency through a simple blood test

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It is noteworthy that an excessive dietary intake of methionine-rich animal protein is an additional cause of hyperhomocysteinemia detected both in the fasting state and after an oral methionine load, especially when tissue folate and cobalamin stores are intact

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