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Pernicious Anemia: Parenteral vitamin B12 is the recommended treatment and will be required for the remainder of the patient's life

Vitamin B12 deficiency If left untreated, vitamin B deficiency can harm your brain and nervous system, leading to issues such as: Incontinence (not being able to control your pee or poop) Nerve issues, such as numbness, weakness, or nerve pain Erectile dysfunction (not being able to get an erect penis) Paralysis (not being able to move your body) Memory loss Paranoia (feeling like others are trying to hurt you) If you dont have symptoms but are at risk of low B12 levels, your doctor might also want you to have regular tests

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Findings like those suggest a myeloproliferative or other hematologic disorder is producing the excess B12