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Doctors can diagnose vitamin B12 deficiency can be diagnosed through blood tests, including a complete blood count and methylmalonic acid test, to measure B12 levels and metabolic function

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Worsening macrocytic anemia : B 12 deficiency may also cause a macrocytic (megaloblastic) anemia BUT, in the presence of folate supplementation, this anemia may be masked so that B 12 deficiency may present with exclusively neurologic features