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The most common symptoms that are associated with anemia include: Fatigue General weakness Lightheadedness or dizziness Cold hands and feet Shortness of breath Irregular heartbeat Headaches Skin that is paler or tinted a bit yellow (easier to distinguish on those with lighter skin tones) The symptoms that are most often the reason that patients initially bring them to their physician and warrant a blood test include unexplainable fatigue and shortness of breath

Other side effects can occur

When the body lacks this essential nutrient, it can disrupt normal follicle function and cause excessive shedding

Genetic factors, certain medications, or the aforementioned B9 and B6 deficiencies (very rare in vegetarians unless there is a malabsorption syndrome)

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