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[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)

While this effect might be subtle, in high-precision research, consistency is everything

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Pharmacological Reviews, 59(2), 151184

They watch your progress and tweak your treatment as needed

(August 2008)