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I would personally seek medical guidance sooner if any of these are happening: • Numbness/tingling that is persistent or worsening • Trouble walking, balance issues, or new clumsiness • Significant brain fog, confusion, or memory changes • Shortness of breath, palpitations, or fainting • Symptoms plus a known risk factor (vegan diet without supplementation, gastric surgery history, digestive disease) A practical “if this sounds like me” checklist If fatigue and numbness are showing up and you’re trying to make sense of it, this is the order I like: 1) Track the pattern for 1–2 weeks Write down when fatigue hits, where tingling happens (hands, feet, both), and whether it’s worse at night, after exercise, or randomly