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READ MORE: Folate deficiency symptoms, how it works with vitamin B12, food sources Symptoms of anaemia: extreme tiredness (fatigue) lack of energy (lethargy) breathlessness feeling faint headaches pale skin noticeable heartbeats (palpitations) hearing sounds coming from inside the body, rather than from an outside source (tinnitus) loss of appetite and weight loss Symptoms of vitamin B12 deficiency a pale yellow tinge to your skin a sore and red tongue (glossitis) mouth ulcers pins and needles (paraesthesia) changes in the way that you walk and move around disturbed vision irritability depression changes in the way you think, feel and behave a decline in your mental abilities, such as memory, understanding and judgement (dementia) A person could display some of these symptoms by having a vitamin B12 deficiency but not developed anaemia

We note that Addendum B does not appear in the printed version of the Federal Register as part of this final rule with comment period

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