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Inadequate levels of Vitamin B12 can also contribute to mental health challenges such as depression, cognitive fog, dementia, and memory issues

Neurological issues brought on by pernicious anemia include memory and concentration issues, tingling and numbness in the hands and feet, and balance issues Pernicious anemia can lead to nerve damage Pernicious anemia can lead to heart failure Pernicious anemia can lead to an increased risk of infection and cancer Birth abnormalities and pregnancy difficulties including miscarriage can result from pernicious anemia

Without adequate amino acid intake from external sources, such as dietary protein, the body may start breaking down muscle protein into amino acids for energy, which can slow metabolism over time

Are there clinical features of liver disease, myeloproliferative disorder (e.g., blood film changes of unexplained cytopenia, thrombocytosis, or leukocytosis), or another cancer (e.g., cachexia, constitutional symptoms fever, weight loss, night sweats)

Its also essential for red blood cell formation and can reduce fatigue and brain fog