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Examples include: Advertisement Long-term low vitamin B12 levels caused by pernicious anemia can affect your nervous system

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1 It is important to consume enough vitamin B12 in your diet, as a deficiency can cause a variety of symptoms, including fatigue, weakness, cognitive and neurologic dysfunction, and anemia

Or you could be misdiagnosed with a major depressive disorder or even psychosis and take unneeded psychiatric medications for months (or years) before someone notices you look yellowish and youre finally diagnosed with megaloblastic anemia