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Some of the signs of lower B12 levels in your body include: Pale or yellow-tinged skin Weakness and fatigue Balance and coordination are affected A sensation of pins and needles Mouth ulcers Blurred or disturbed vision On rare occasions, high temperature Mood changes Rani MD Treatment of vitamin B12 deficiency often includes dietary changes, B12 shots, or supplements

But in fact, the term pernicious anemia means a specific vitamin B12 deficiency caused by the loss of the bodys ability to make intrinsic factor. Intrinsic factor is in the lining of the stomach, so a weakened stomach lining (which is called atrophic gastritis can cause pernicious anemia

Deficiency in vitamin B12 is also associated with disproportionate fetal growth (low muscle mass and excess fat mass), increased insulin resistance, intrauterine growth restriction, and lifelong susceptibility to certain chronic diseases