Vitamin deficiency anemia usually develops slowly over several months to years. Signs and symptoms may be subtle at first but usually increase as the deficiency worsens. These may include:  Fatigue Shortness of breath Dizziness Pale or yellowish skin Irregular heartbeats Weight loss Numbness or tingling in the hands and feet Muscle weakness Personality changes Unsteady movements Mental confusion or forgetfulness 
vitamin deficiency anemia develops slowly months years  signs symptoms may subtle first increase deficiency worsens  may include:  fatigue shortness breath dizziness pale yellowish skin irregular heartbeats weight loss numbness tingling hands feet muscle weakness personality changes unsteady movements mental confusion forgetfulness 
vitamin deficiency anemia