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Symptoms tend to appear mostly when people are middle-aged or older

Both approaches are valid

But if untreated, it may lead to symptoms such as: Weakness, tiredness, or lightheadedness Heart palpitations and shortness of breath Pale skin A smooth tongue Constipation, diarrhea, loss of appetite, or gas Nerve problems like numbness or tingling, muscle weakness, and problems walking Vision loss Mental problems like depression, memory loss, or behavioral changes Treatment If you have pernicious anemia or have trouble absorbing vitamin B12, you'll need shots of this vitamin at first

If a doctor prescribes B12 injections, symptoms like fatigue, weakness, depression, and more may resolve within generally resolve in six to 12 weeks