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But if untreated, it may lead to symptoms such as: Weakness, tiredness, or lightheadedness Heart palpitations and shortness of breath Pale skin A smooth tongue Constipation, diarrhoea, loss of appetite, or gas Nerve problems like numbness or tingling, muscle weakness, and problems walking ( late signs of low B12/folate) Vision loss Mental problems like depression, memory loss, or behavioural changes Vitamin B12 is naturally present in foods of animal origin, including: In addition, nutritional yeasts contain readily available sources of vitamin B12 that have high bioavailability