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Common signs include: Persistent fatigue and low energy unrelated to sleep Brain fog, poor concentration, and short-term memory lapses Mood changes, irritability, or low motivation Tingling or numbness in the hands and feet Cold extremities and pale skin Hair thinning or weakened nails Shortness of breath or dizziness on exertion A smooth or sore tongue (glossitis) If several of these resonate, a clinical assessment is the right next step

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2014 May;6(5):1861–73