Hallmark findings associated with both B12 and folate deficiencies are anemia, fatigue, and anorexia. Anemia is due to the fact that both B12 and folate are essential for DNA synthesis and thus for the production of red blood cells. Folate and B12 deficiencies can lead to a type of anemia called megaloblastic anemia, where the red blood cells are abnormally large and immature. This can cause fatigue, as the body is not able to produce enough healthy red blood cells to transport oxygen to the tissues.
Anorexia is also a hallmark finding of both B12 and folate deficiencies. This is because both vitamins are essential for the metabolism of proteins, carbohydrates, and fats, and deficiencies can lead to a decrease in appetite. In addition, B12 deficiency can lead to a decrease in the production of serotonin, which can also lead to a decrease in appetite.
Other hallmark findings associated with B12 and folate deficiencies include neurological symptoms, such as numbness and tingling, confusion, and memory loss. In addition, B12 deficiency can lead to depression, irritability, and psychosis, while folate deficiency can lead to an increased risk of birth defects in pregnant women.