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However, these symptoms should not be self-diagnosed

Gastroenterol (2014) 146:66980

The reasons for a vitamin B12 deficiency are manifold: Unfavourable eating habits (for example fast food and convenience food), absorption disorders in older age, a strict vegetarian diet or certain intestinal diseases are frequent causes

However, if your healthcare provider is testing other markers at the same timesuch as fasting glucose or lipidsyou will likely need to fast for 8 to 12 hours