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Some physical signs that you may have a vitamin B12 deficiency include: Tingling or numbness in the hands, legs, or feet Difficulty walking Anemia Swollen, inflamed tongue Yellowed skin Paranoia or hallucinations Fatigue Often, more long-term consequences of an advanced B12 deficiency in older people involve weaker red blood cell formation, lower metabolism, impaired nerve functioning, and weaker bone health

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Department of Veterans Affairs has developed a progressive treatment approach that employs techniques such as guided imagery, deep breathing, relaxation, and engagement in enjoyable pastimes, and can progress beyond self-help to include cognitive behavioral therapy, sound generators, and other more intensive therapies