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In this case, you will want to make sure your healthcare provider orders blood work for B12 periodically

As low potassium sometimes can affect your blood pressure, your doctor will check that, too

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Pernicious Anemia Complications If you don't get treatment for pernicious anemia, you could face the following complications: Higher risk of gastric cancer Fractures in the back, upper leg, and upper forearm Brain and nervous system problems that could become permanent A false-positive Pap smear because a B12 deficiency affects the way certain cells in the cervix look Takeaways Pernicious anemia (PA) is an autoimmune condition where your body cant absorb vitamin B12 and so can't make enough healthy red blood cells