confused with other health problems.

However, if left untreated, B12 deficiency can lead to more serious health problems. Here are some signs of vitamin B12 deficiency that people often ignore:

1. Fatigue and Weakness

Unusual fatigue or weakness, even after a full night’s sleep, is one of the most common early signs.

This occurs because B12 is crucial for the production of red blood cells, which carry oxygen throughout the body.

2. Pale or Yellowish Skin
A B12 deficiency can cause anemia, which results in pale or yellowish skin due to a lack of healthy red blood cells. The skin may also appear blotchy or pale due to poor circulation.
3. Tingling or Numbness
One of the most alarming signs of a B12 deficiency is tingling or numbness in the hands, feet, or legs. This is due to nerve damage that can occur when B12 is deficient. It can also cause a “pins and needles” sensation.
4. Difficulty walking or poor coordination

Because B12 plays an important role in nerve function, a deficiency can affect coordination, balance, and muscle strength. This can lead to difficulty walking or a “wobbly” gait.
5. Memory problems or cognitive decline
B12 deficiency has been linked to memory problems, difficulty concentrating, and in more severe cases, even cognitive decline or dementia. It can impair mental clarity and lead to confusion or mood swings.
6. Mood swings or depression
A deficiency in B12 can cause mood swings, irritability, or depression. B12 is important for the production of serotonin, a neurotransmitter that regulates mood.
7. Shortness of breath or dizziness
People with B12 deficiency may feel short of breath or dizzy even during simple activities. This happens because a lack of B12 can impair red blood cell production, leading to anemia and improved oxygen levels.
8. Glossitis (swollen, inflamed tongue)
A B12 deficiency can cause the tongue to become sore, swollen, smooth, and inflamed. This is called glossitis and often leads to difficulty swallowing or speaking.
9. Vision problems
In some cases, a B12 deficiency can affect the optic nerve, causing vision problems such as blurred or double vision due to nerve damage.
10. Digestive problems
A B12 deficiency can cause digestive problems such as nausea, diarrhea, constipation, or loss of appetite.

11. Heart palpitations
People with B12 deficiency may experience palpitations or rapid heartbeat. This is associated with anemia caused by low B12 levels, which impairs the blood’s ability to carry oxygen.
Who is at risk for B12 deficiency?
Older adults: B12 absorption decreases with age.
Vegans and vegetarians: B12 is found primarily in animal products, so those who avoid meat, dairy, and eggs may be at risk.
People with digestive problems: Conditions such as celiac disease, Crohn’s disease, and those who have undergone weight-loss surgery can impair B12 absorption.
People taking certain medications: Some medications, such as proton pump inhibitors, can impair B12 absorption.
If you experience any of these signs or suspect you may have a deficiency, it is important to see a doctor. A simple blood test can determine if your B12 levels are low, and your doctor may recommend supplements or dietary changes to correct the deficiency.

Have you experienced any of these symptoms or do you know someone who may be at risk for a B12 deficiency?