[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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[DOI] [PubMed] [Google Scholar] 99.Gutierrez-Mariscal F.M., Perez-Martinez P., Delgado-Lista J., Yubero-Serrano E.M., Camargo A., Delgado-Casado N., Cruz-Teno C., Santos-Gonzalez M., Rodriguez-Cantalejo F., Castao J.P., et al