Anemia caused by inability to absorb vitamin B12, leading to impaired red blood cell production and neurological damage. Often due to lack of intrinsic factor from autoimmune gastritis. Symptoms include fatigue, weakness, pale skin, shortness of breath, tingling in hands and feet, balance problems, memory difficulties, and glossitis (smooth, red tongue). Can cause irreversible neurological damage if untreated.
For initial diagnosis requiring transfusion due to severe anemia, or if there are signs or symptoms related to central nervous system impairment, such as encephalopathy, myelopathy, or severe peripheral neuropathy, requiring parenteral B12 therapy (100% for 6 months, then re-evaluate)
Requiring continuous treatment with Vitamin B12 injections, Vitamin B12 sublingual or high-dose oral tablets, or Vitamin B12 nasal spray or gel
Asymptomatic or requiring treatment only by dietary modification
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how pernicious anemia and vitamin b12 deficiency affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for pernicious anemia and vitamin b12 deficiency, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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