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Common signs include: Feeling tired all the time, even after sleeping well Brain fog or trouble focusing Forgetfulness or memory lapses Feeling low, anxious, or irritable Pins and needles in your hands or feet Pale or washed-out skin Weakness or loss of strength If its not treated, low B12 can eventually lead to nerve damage and other long-term health issues

It is sharp and sometimes has uneven glass protruding

Imai S, Guarente L

If your doctor suspects you have leukemia, they may do a B12 test before ordering a more complex test, such as a bone marrow biopsy

Guessing your nutritional needs can lead to ineffective treatments or masked underlying conditions