This needs immediate evaluation , exam and labs.
By the way, B12 can be the issue.
If it really was deficiency: all b vitamins should be checked, vitamin D, magnesium and thyroid function as well.
I am not sure what your specific medical question is, but this is obvious.
Th twitches are not the big concern, these are usually benign.
But the pins and needs can indicated things such as
B vitamin deficiencies
hidden infection or malignancy
and other problems
bleeding gums can simply be gum disease or a sign of a more serious disorder.
See an internal medicine doctor asap.
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