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Symptoms of vitamin B12 deficiency can include: Low energy or sometimes chronic fatigue Lack of focus and other cognitive difficulties Tension and weakness in muscles Poor memory Emotional mood swings Lack of motivation Female infertility Male low testosterone Digestive issues (like leaky gut or irritable bowel disease) Hypothyroidism Fatigue, even after getting a good nights sleep Numb or tingling feeling in hands and feet Trouble walking Fast heart rate Nausea Smooth and tender tongue or mouth Decreased appetite Weight loss Irritability Diarrhea Lightheadness Shortness of breath Pale skin Blue or gray-brown nails Trouble speaking Depression Yellowish skin Behavior changes Vitamin B12 deficiency anemia: There are two different types of anemias linked to vitamin B12 deficiency

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doi: 10.1046/j.1471-4159.1999.0730889.x 53

[2] It can be classified into three subtypes, or four if extra-pelvic endometriosis is included: [1] [3] Superficial peritoneal endometriosis Small lesions that grow on the peritoneum, the membrane lining the abdominal cavity and covering the surface of pelvic organs Deep infiltrating endometriosis Lesions that grow into the tissue beneath the lining of the pelvis or into the muscle layers of pelvic organs Endometriomas Cysts that grow in the ovaries Extrapelvic endometriosis Lesions outside the pelvic region, such as in the lungs or diaphragm Subtypes can exist in isolation or in combination with one another