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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

However, recent studies have highlighted the role of lifestyle factors, including smoking, nutrition, environmental toxins, and sleep disruptions

They produce enough in their digestive systems via bacterial fermentation

Bacteriostatic water has a pH of approximately 5.57.0