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doi:10.1016/j.clinbiochem.2003.08.004 E
And some people have B12 deficency without ever having macrocytic anaemia - even when symptoms of B12 deficency are present (30% of people present without macrocytic anaemia and some also have serum B12 levels that are within what's called 'normal' range, even before treatment is started: B12 deficiency can thus be present even if serum B12 levels appear to be normal
If absorption issues are suspected, additional testing may be appropriate
