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[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)

Simple tests such as altered sensation in the area supplied by nerve, pressure on the nerve in the groin, moving the hip backwards may reproduce the symptoms and help in establishing the diagnosis

[22] Properties [edit] Hydroxocobalamin acetate occurs as odorless, dark-red orthorhombic crystals

D., Sen A

However it is your responsibility to ensure you or your employer have the necessary insurance in place before you treat patients etc