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Early signs of B12 deficiency on the skin can include pale or yellowish skin, dark circles under the eyes, and skin rashes

If you have pins and needles, numbness, balance issues, or other neurological changes, you should seek medical assessment promptly

The term pernicious means harmful, and pernicious anemia causes harm to several body systems: Pernicious anemia typically affects people aged 60 to 80 of Northern European descent

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Surgical procedures Sometimes few surgeries that involve the removal or alteration of the stomach or intestines can affect the bodys ability to absorb vitamin B12 as removal reduces the surface area available for absorption

Age, gastrointestinal disorders, and certain medications can also interfere with B12 absorption