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Vitamin B12 deficiency If left untreated, vitamin B deficiency can harm your brain and nervous system, leading to issues such as: Incontinence (not being able to control your pee or poop) Nerve issues, such as numbness, weakness, or nerve pain Erectile dysfunction (not being able to get an erect penis) Paralysis (not being able to move your body) Memory loss Paranoia (feeling like others are trying to hurt you) If you dont have symptoms but are at risk of low B12 levels, your doctor might also want you to have regular tests

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Structured next steps and repeat testing Repeating the test is worthwhile when intake, a recent injection, acute illness, or a preanalytical issue, meaning a problem with the sample before it was measured, could explain the value, using the same laboratory or a comparable assay so the trend is interpretable

These symptoms can indirectly affect body weight because low energy often reduces appetite and activity