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This time I felt anxious for about 10 mins that evening, tired and achy the next day, but that has been it

Signs to watch for include: Unexplained fatigue Persistent nausea, vomiting, or diarrhea Loss of appetite Unintended weight loss Yellowish skin Sore mouth or tongue Depression or irritability Behavioral changes Numbness and tingling sensations in the hands and feet Vision changes Mental confusion Should You Consider a B12 Shot

Today, food manufacturers continue to fortify food so that pellagra isnt a concern for most people. Being undernourished may increase your risk for niacin deficiency