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Folate deficiency may also cause additional symptoms, including: fatigue weakness pale skin tongue swelling gray hair growth delay in children Anemia can also cause additional symptoms that may include: pale, cold skin pale gums dizziness lightheadedness fatigue increased or decreased blood pressure racing or pounding heart shortness of breath or trouble breathing Anemia has many causes and may occur quickly or over a long period of time

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Comparative analysis of vaping and traditional smoking