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The American Academy of Family Physicians and NIH identify the following clinical manifestations: Fatigue and generalized weakness Megaloblastic anemia (abnormally large, immature red blood cells) Tingling or numbness in the hands and feet (peripheral neuropathy) Difficulty walking and balance problems Cognitive disturbances including memory difficulty and confusion Mood changes, including depression and irritability Glossitis (swollen, inflamed tongue) Early symptoms such as fatigue and mild tingling are often attributed to stress, aging, or other conditions

A couple of days later I had extreme fatigue, and for the last few days I have had tiredness like nothing I have ever experienced before, its extreme like Im on the verge of falling asleep almost

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The National Library of Medicine says these supplements contain a yellow or yellowish-orange powder