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General Symptoms Dizziness or lightheadedness Paleness of skin and mucous membranes Gastrointestinal Symptoms Neurological Symptoms Numbness or tingling in hands and feet Difficulty walking Balance problems Memory loss or confusion Depression or mood changes Cardiovascular Symptoms Chest discomfort Increased risk of heart disease due to chronic anemia Complications of Untreated Pernicious Anemia If untreated, it can cause serious complications: Permanent nerve damage Cognitive impairment and dementia Increased risk of gastric cancer Heart failure due to prolonged anemia Early detection significantly reduces these risks

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Thanks Hi bubblesmcgee a wiser person than I has posted this previously " The pimples/acne, is likely to be caused by microbes on your skin reacting to the additional B12 by producing substances that your skin is then reacting to