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Deficiency of cobalt is associated with digestive disorders, fatigue, poor circulation, myelin sheath damage, nerve damage, slow growth, goiter, and pernicious anemia. Symptoms of pernicious anemia include weakness and tingling in the arms and legs, sore tongue, nausea, appetite loss, weight loss, bleeding gums, balance problems, pale gums, lips, and tongue, confusion, headache, and poor memory.

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