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More people means more urban and agricultural development of course, and this, in turn, is likely to have led to increased stormwater, wastewater and agricultural runoff to inland and coastal aquatic systems, as well as a greater overall demand for water

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Common signs include: Persistent fatigue and weakness Pale or jaundiced skin Tingling or numbness in the hands and feet Difficulty walking, balance problems, or muscle weakness Memory loss, confusion, or mood changes Glossitis (inflamed tongue) and mouth ulcers Anemia and shortness of breath Because these symptoms overlap with other conditions, testing vitamin B12 levels is the best way to confirm deficiency