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This can cause a number of different health conditions, including general physical symptoms and even all the way to neurological symptoms if you are really deficient in the vitamin for too long Some of the main symptoms of this B12 deficiency include: General symptoms: Having yellowish skin Feeling like the tongue or mouth is sore Weight loss Not feeling as hungry as usual Experiencing diarrhea, vomiting, or nausea Feeling weak or tired Neurological symptoms Having trouble with speaking or walking after having a deficiency for too long Having a hard time remembering things, or you can get easily confused

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A 2019 case report describes a case of a young woman who was treated for severe pernicious anemia with multiple daily doses of 1 milligram (mg) of cyanocobalamin, a synthetic form of B12