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Pernicious anemia is caused by a decrease in red blood cells when the body cant absorb enough vitamin B12, greatly raising the risk for neurological complications

Causes In most cases, pathologically elevated cobalamin levels underlie certain diseases or organ dysfunctions , especially those affecting liver tissue

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Signs and symptoms of vitamin B12 deficiency signs may include: Weakness or fatigue Pale skin Appetite loss Weight loss Palpitations Numbness and tingling Poor concentration Infertility Depression Memory impairment Sore mouth or tongue Disturbed sleep Frequent infections What are the side effects of a B12 shot