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There are some types of blood test that may help determine if the vitamin B12 in your blood can be used by your body, but these are not yet widely available. This Clinical Review from the BMJ on B12 deficiency states: There is no ideal test to define deficiency and therefore the clinical condition of patients is of the utmost importance. and: If the clinical features suggest deficiency then it is important to treat patients to avoid neurological impairment even if there may be discordance between the results and clinical features A normal serum B12 level can indicate a Functional B12 deficiency , this is a genetic condition which your doctor should investigate

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Can I get a B12 shot pregnant or breastfeeding