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[6] [3] [10] A mild deficiency may not cause any discernible symptoms, but moderate deficiency can cause various symptoms, such as feeling tired, lightheadedness, headaches, cold intolerance, pale skin, sore tongue, upset stomach, loss of appetite, hair and skin color changes, numbness or tingling (pins and needles) of the fingers and toes, and tinnitus, and vision, cognitive or psychological problems

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Additionally, the body needs sufficient stomach acid for the digestion process to absorb vitamin B12 effectively

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This lasted a few weeks and calmed down for a month or so but I have now just broken out with acne all over my chin and jawline