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Pale Or Jaundiced Skin A lack of Vitamin B12 can interfere with red blood cell production, leading to a condition called megaloblastic anemia

doi: 10.1371/journal.pone.0035241 347 BhattaraiAEganGFTalmanPChuaPChenZ

10.1136/thorax.56.6.432 54

Red blood cell production - it may increase the production of red blood cells, which transport oxygen throughout your body and muscles

It is in the brain that fatigue is perceived, but the location of the interoceptive sensors signalling deviations from a balanced homeostatic state remains unclear