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Vitamin B12 deficiency can indicate various underlying issues, including cancer, but its important to recognize that cancer is not the most common cause, says Tanya ter Keurs, a Nurse Practitioner and NiaHealths Co-Founder and Clinical Director

J Med Toxicol

DNA testing required for formal diagnosis (not a first-line investigation, exclude other causes first) Pre-pregnancy carrier testing of partner is important Rare causes of microcytic anaemia Chronic inflammation Lead poisoning (high blood lead level) Sideroblastic anaemia Normocytic normochromic anaemia Haemolytic anaemia Acute haemolysis in childhood can be a life-threatening illness and all cases should be discussed with a haematologist Admit children with haemolytic anaemia for observation

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It's best to consult with your physician if you suspect a deficiency