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If you follow a vegan diet, you may need to take care to ensure that you are getting enough B12, as the only vegan sources are fortified cereals or dietary supplements

Symptoms of pernicious anemia can vary, but common symptoms include: Depression and irritability Difficulty maintaining balance Fatigue and weakness Heart palpitations Loss of appetite Numbness or tingling in the hands and feet Pale skin Shortness of breath Weight loss Can I have pernicious anemia without having symptoms

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