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Physical complaints Fatigue, muscle weakness Tingling or numbness in hands and feet Muscle cramps Balance problems or shaky walking Mental complaints Forgetfulness or concentration problems Feelings of gloom or depression Anxiety or irritability Confusion Other signals Headache or dizziness Anemia 'Fog' in your head or feeling of alienation Feeling of not being yourself Note that neurological symptoms can occur without any abnormalities being visible in your blood count