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But metformin can also affect vitamin B12 absorption, she says

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Common B12 deficiency symptoms include: Persistent fatigue and weakness Tingling or numbness in hands and feet Memory problems and difficulty concentrating Mood changes like irritability or depression Dizziness and balance issues Pale skin or yellowing of eyes Sore, red tongue Some people have a much higher chance of developing B12 deficiency, and understanding these risk factors helps us catch problems early

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