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A patient who feels drained and low on energy is often less likely to stick with healthy habits

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01.06.2026 This toolkit is designed to allow eye health programmes and facilities to assess their vulnerability to climate change

The route and dosage of supplementation depend on the severity of deficiency, presence of neurological symptoms, and underlying cause of the deficiency

Symptoms may include: Constantly feeling tired or chronic fatigue Muscle aches and weakness Joint pain Difficulty breathing or shortness of breath Feeling dizzy Poor memory Inability to concentrate well Mood changes, like increased depression and anxiety Having abnormal heart problems, such as palpitations Poor dental health, including bleeding gums and mouth sores Digestive problems like nausea, diarrhea or cramping A poor appetite A more serious deficiency can also cause a form of anemia called pernicious anemia, a serious condition that can cause memory loss, confusion and even long-term dementia