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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

Nevertheless, around five percent of the population in Germany suffer from a vitamin B12 deficiency

12 TeitelbaumJ

Diagnosis and management of pernicious anaemia is currently imprecise, with many unanswered questions and a lack of consistency in practise[31]

Remember that your body is not able to store vitamin B12 for long periods of time