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Common symptoms include: Fatigue or unexplained weakness Dizziness Pale or jaundiced skin Heart palpitations and shortness of breath Nerve problems like numbness or tingling, muscle weakness, and problems walking Vision loss Cognitive problems like memory loss, changes in mood, or behavioural changes Causes of Vitamin B12 Deficiency Vitamin B12 deficiency can result from a variety of factors, including: Lack of Dietary Sources : B12 is naturally found in animal products such as fish, meat, poultry, eggs, milk, and milk products