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Challenges in the diagnosis of vitamin B 12 deficiency Subclinical B 12 deficiency is asymptomatic The diagnosis and management of subclinical vitamin B 12 deficiency, which is defined as a total serum B 12 concentration of 150249 pmol/L(Carmel, 2012, 2013) is a matter of great interest, due to its much higher prevalence (up to 40% of the population in western countries) compared to clinical deficiency (Carmel, 2012, 2013)

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The Sample Has Now Been Sent for Confirmation Janoshik has said the sample has been sent to the national drug laboratory for definitive confirmatory analysis