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A deficiency in vitamin B12 can cause a wide range of problems, including (but not limited to): Extreme tiredness Breathlessness Feeling faint Pale skin Heart palpitations Loss of appetite and weight loss Headaches A lack of energy Pins and needles A sore and red tongue Mouth ulcers Muscle weakness Problems with your vision Psychological problems, which can range from mild depression or anxiety to confusion and dementia Problems with memory, understanding and judgement Vitamin B12 is a nutrient needed to keep your body fit and healthy