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Vegans may need B12 supplements or consume B12-fortified foods

[7] Intramuscular injections , prescribed for severe deficiency or malabsorption conditions, are administered by healthcare professionals according to specific treatment schedules outlined in the BNF

Healthcare providers may use several tests, including: Complete blood count (CBC) Peripheral smear (PS) Serum vitamin B12 levels Serum folate levels Methylmalonic acid (MMA) testing Homocysteine testing Both low folate and low vitamin B12 may contribute to macrocytic anemia, a condition characterized by unusually large red blood cells