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Larsson SC, Orsini N, Wolk A

According to the anemia feeling weak or fatigued trouble keeping your balance weight loss appetite loss numbness or tingling in the hands, legs, or feet swollen or inflamed tongue (glossitis) heart palpitations pale or jaundiced skin There can also be psychiatric symptoms as well, although the cause of these may not be apparent at first

Urgent red-flag symptoms seek immediate medical attention: Persistent or severe vomiting after surgery, sudden confusion, problems with balance or coordination, visual disturbances, or rapidly worsening weakness or numbness may indicate acute thiamine (vitamin B1) deficiency, which can cause a serious neurological condition called Wernicke's encephalopathy

However, individuals can differ significantly in how they metabolize this vitamin

Antacids can directly block vitamin B12 absorption and metabolism

Alleviated pain behaviors in diabetic neuropathy, low back pain, and neuralgia