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In one ED-focused study, inadequate B12 levels were reported in some participants, and deficiency can cause symptoms like fatigue, nerve issues, and mood changes that may indirectly undermine sexual performance

Jin J, et al

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So, now that we know serum B12 may not always be reliable, lets look at the proper steps that should be taken: Check a complete blood count (CBC)

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4,5,6 The term pernicious anaemia refers to an autoimmune disease that destroys the parietal cells, leading to a lack of IF and thus B12 deficiency