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Pale or yellowish skin: This could be a sign of anemia due to a decrease in red blood cell production caused by a deficiency

A lack of vitamin B12 can lead to vitamin B12 deficiency anaemia which causes the body to produce abnormally large red blood cells that cannot function properly to carry oxygen around the body, leading to nerve damage or neuropathy

If you take antacids, PPIs, or other acid blockers, you likely need B12 in a non-oral form