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Signs and symptoms, if they do occur, might include fatigue, weakness, pale or yellowish skin, irregular heartbeats, shortness of breath, dizziness or lightheadedness, chest pain, cold hands and feet, and headaches

Special vitamin B12 requirements during pregnancy, breastfeeding and in old age Pregnant women and breastfeeding mothers also have a higher requirement and must pay particular attention to getting enough vitamin B12, preferably through their normal diet

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Low B12 during pregnancy has been linked with developmental issues and a higher risk of certain birth complications