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Tear Trough Deformity: A depression beneath the lower eyelids, known as a tear trough deformity is another significant cause of dark under-eye circles

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Common symptoms can include: Extreme fatigue Lethargy Loss of appetite headaches Feeling faint or dizzy Breathlessness Headaches Heart palpitations Tinnitus Additional symptoms of B12 deficiency can include psychological problems such as low mood, irritability, depression, cognitive changes, or blurred memory