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Common signs include: Feeling tired all the time, even after sleeping well Brain fog or trouble focusing Forgetfulness or memory lapses Feeling low, anxious, or irritable Pins and needles in your hands or feet Pale or washed-out skin Weakness or loss of strength If its not treated, low B12 can eventually lead to nerve damage and other long-term health issues

Written informed consent was obtained from the subjects parents, and verbal assent was obtained from all the study subjects before drawing blood