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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

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Risks and Side Effects While generally safe, vitamin B12 injections can have side effects or risks, such as: Mild pain, swelling, or redness at the injection site Dizziness, headache, or nausea Allergic reactions (rare) Hypokalemia (low potassium levels) in individuals with severe deficiency undergoing treatment People with allergies to cobalt or who have Lebers disease should avoid B12 injections unless specifically advised by a doctor