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As the condition worsens, common symptoms include: weakness and fatigue light-headedness and dizziness palpitations and rapid heartbeat shortness of breath a sore tongue that has a red, beefy appearance nausea or poor appetite weight loss diarrhea yellowish tinge to the skin and eyes

Clin Nutr 35(6):12361241

Blood samples for analysis of serum B12 should be protected from light during collection, and whole blood separated as soon as possible as delays in centrifugation and separation can lead to an initial rise in serum B12 concentrations (Allen et al, 2018)
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