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Women diagnosed with a B12 deficiency will usually have one of the following factors: 40 years of age or over A vegetarian or vegan diet Heartburn medication Crohns disease Nicotine consumption Frequent alcohol consumption Anemia Atrophic gastritis (thinning of stomach lining) Symptoms of B12 deficiency may include: Dizziness/vertigo Numbness or pins and needles Pale skin Memory deficiency Low energy Blurred vision Mood swings Smooth/sore tongue Loss of muscle strength Shortness of breath Heart palpitations Gastrointestinal issues Skin, nail, and hair deficiencies Unfortunately, this constellation of symptoms can look like and be related to numerous factors