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Symptoms of B12 deficiency may include: Depression Fatigue Trouble concentrating Confusion Memory problems Headaches Mood changes Vitamin B12 is essential for red blood cell production, so long-term deficiency can lead to anemia, which can cause fatigue, shortness of breath, and an irregular heartbeat

There are also colorful birds like the cock-of-the-rock, though they are hard to spot

The responsible first step in either case is testing, not guessing

(Adapted from Goldstein et al., 2005

Mahumud RA, Kamara JK, Renzaho AMN