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Common signs include: Persistent fatigue and weakness Pale or slightly jaundiced skin Shortness of breath and dizziness Tingling or numbness in the hands and feet Mouth ulcers or a sore, red tongue (glossitis) Cognitive difficulties, including memory problems or low mood Hair thinning or increased hair shedding (a possible, non-specific manifestation not a hallmark symptom) In the UK, certain groups are at higher risk and should be particularly vigilant

Anyone who is pregnant or planning to get pregnant should also make sure they are getting enough folic acid