[51] Diagnosis [edit] According to one review: "At present, no 'gold standard' test exists for the diagnosis of vitamin B 12 deficiency and as a consequence the diagnosis requires consideration of both the clinical state of the patient and the results of investigations." [52] The vitamin deficiency is typically suspected when a routine complete blood count shows anemia with an elevated mean corpuscular volume (MCV)
Low energy Tingling sensation or numbness in hands or feet A swollen, red cracked tongue Mood changes Trouble concentrating and remembering things Megaloblastic anemia People at risk for Vitamin B12 Deficiency: People with a deficiency of intrinsic factor
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Keep vials shielded from light, ideally in their original outer packaging
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