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Even though it can be 90 degrees outside, the lower Clackamas can be dangerously cold in the spring (50 degrees)

Vitamin B 12 deficiency symptoms may include: strange sensations, numbness, or tingling in the hands, legs, or feet difficulty walking (staggering, balance problems) anemia a swollen, inflamed tongue difficulty thinking and reasoning (cognitive difficulties), or memory loss weakness fatigue While an experienced physician may notice the symptoms and be able to detect a vitamin B 12 deficiency with a good interview and physical exam, a blood test is needed to confirm the condition

Nielsen MJ, Rasmussen MR, Andersen CBF, Nex E, Moestrup SK