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The following are some symptoms of megaloblastic anemia: Pale or yellow skin Rapid heartbeat Shortness of breath Feeling weak Lack of energy Loss of appetite Being cranky or grouchy Nauseous, diarrhea, gas, constipation Difficulty in walking Tingling or numbness in hands and feet Bald and sore tongue Poor muscle tone Rapid heartbeat Shortness of breath Feeling weak Lack of energy Loss of appetite Being cranky or grouchy Nauseous, diarrhea, gas, constipation Difficulty in walking Tingling or numbness in hands and feet Bald and sore tongue Poor muscle tone Infantile tremors

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Start with comprehensive blood work

These cosmetic changes rarely show up in isolation