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Doctors will interpret a hemoglobin value, taking into account a persons medical history and other test results, such as RBC, hematocrit, and red blood cell indices

However, in clinical trials involving natural compounds such as curcumin, resveratrol, and ginsenosides, these biomarkers have shown variable predictive value

Note: Extended incubation and culture time is required (6 weeks) for accurate laboratory confirmation of results

Clinical signs of B12 deficiency include nausea, vomiting, loss of appetite, poor absorption of food (malabsorption syndrome), constipation, gas, weight loss, fatigue, lethargy, abdominal pain, and diarrhea