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[1] [2] However, longstanding neurological complications, such as peripheral neuropathy or cognitive changes, may require three to six months of consistent treatment before significant improvement occurs, and some damage may be irreversible if treatment is delayed

This process is called lipolysis

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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

My knees feel smoother during hikes, and I've been able to skip my afternoon anti-inflammatories most days." Long-Term Healthletic User [age range]