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The following are some common symptoms of B12 deficiency in females: Anaemia-Related Symptoms Persistent fatigue and tiredness Paleness of the skin and lips 2 Shortness of breath, especially during activity 4 Rapid heartbeat or palpitations 1 Nerve-Related and Cognitive Symptoms Tingling sensation in the hands and feet Numbness 1 Loss of balance Difficulty in concentrating Confusion 4 Mood changes (depression) or irritability 1,4 Difficulty in walking Oral and Digestive Symptoms Sore or red tongue (glossitis) 2,4 Recurrent oral ulcers Loss of appetite Diarrhoea (loose motion) or constipation 4 Other Symptoms Reproductive issues (infertility in rare cases) 1 Hair loss or hair thinning 5 Unexplained weight loss 1 Causes of Vitamin B12 Deficiency in Women Several factors can contribute to vitamin B12 deficiency
