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Pernicious anemia symptoms: Symptoms of B12 deficiency can include:[ref] fatigue, paleness, shortness of breath (anemia symptoms) headaches, dizziness tingling in the extremities trouble walking or uncontrollable muscle movements cognitive issues, brain fog depression or irritability intestinal issues glossitis Vitamin B12 (cobalamin) is found in animal proteins such as meat and eggs and in supplement forms

Murphy MP, Levine H (2010) Alzheimers disease and the amyloid- peptide

Crohns and Celiac disease) that impairs the distal ileum will also impair absorption of Vitamin B12