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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)

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The same is true of B vitamin complex supplements, which deliver 50 to 500 micrograms (i.e., 20 to 200% of the RDA), as well as for most supplements containing only vitamin B12, which deliver up to 1,000 micrograms (about 400% of the RDA)

B12 injections are currently $29 and may be appropriate for eligible guests seeking quick wellness support