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There is no gold standard test that gives a clear, unequivocal answer to the question does this person have a vitamin B12 deficiency, yes or no

The difference between what each of them is experiencing is, in clinical terms, major depressive disorder vs persistent depressive disorder

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When your body lacks B12, it produces abnormally large red blood cells that cant carry oxygen efficientlya condition called megaloblastic anaemia, also known as B12 deficiency anaemia or anaemia vitamin deficiency