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Regular assessment of vitamin B12, folate, iron, calcium, and vitamin D is recommended, as deficiencies are common

Blood glucose can drop rapidly below 54 mg/dL, causing dizziness, confusion, sweating, and loss of consciousness

Mannavola F, Tucci M, Felici C, Stucci S, Silvestris F

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Another set of B12 deficiency symptoms are neurological, such as irritability, memory problems, depression, visual disturbances, tingling or numbness of hands and feet, pins and needles and eventually, in severe cases, a dementia-like illness, psychosis with hallucinations and paranoia (EFSA, 2015