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Deficiency concerns: Alcoholism intestinal and bariatric surgeries digestive disorders lack of intrinsic factor vegetarians Vegans who do not consume any animal products When you don't have enough folate and vitamin B12, deficiency can result in anemia, fatigue, irregular heartbeat, shortness of breath, hair loss, and pale skin with mouth sores

( Unfortunately, this symptom of B12 deficiency overlaps with symptoms related to diabetic neuropathy nerve damage caused by high blood sugar that can cause pain and numbness in the extremities ( People with diabetes taking metformin are at a higher risk of developing B12 deficiency because this medication can reduce vitamin B12 absorption in the body ( So, a B12 deficiency could be misdiagnosed as peripheral neuropathy in people with diabetes

A study released in 2023 looked at both vitamin D and B12 levels and their correlation with thyroid peroxidase antibodies (TPOAb) in patients with autoimmune hypothyroidism and found that higher levels of TPOAb are associated with low levels of both vitamins

[DOI] [PMC free article] [PubMed] [Google Scholar] 284.Lehmann, S., Loh, S