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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
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Diabet Med 32(3):343352 Hickey FB, Martin F (2018) Role of the immune system in diabetic kidney disease
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Follow up regularly: Your clinician will monitor A1C, weight, kidney function, and any side effects, and will adjust doses or other medications (like insulin) as needed
