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B12 plays an essential role in neurological health as well as supporting red blood cell production and immune regulation
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Other tests are possible, but not usually offered, to indicate a diagnosis of PA: a

[7] [4] Neurological symptoms can occur even before anaemia develops and include paraesthesia (pins and needles) in the hands and feet, numbness, difficulty walking, and balance problems due to subacute combined degeneration of the spinal cord
