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Symptoms of vitamin B12 and folic acid deficiency anemia include: Shortness of breath Headache Indigestion Loss of appetite Heart palpitations Vision problems Feeling weak or tired Diarrhea Pain or redness of the tongue, sometimes with mouth sores Problems with memory, comprehension, and judgment (cognitive changes) Some of these symptoms may also occur in people who are deficient in vitamin B12 or folic acid but are not anemic

New England J Med 370(21):641651 Grnroos S, Helmi M, Juuti A et al (2021) Effect of laparoscopic sleeve gastrectomy vs roux-en-Y gastric bypass on weight loss and quality of life at 7 years in patients with morbid obesity

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