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Risk Factors Requiring B12 Testing According to Medical Guidelines: Age over 50 (absorption decreases due to reduced gastric emptying) History of Crohn’s disease, celiac disease, or other gastrointestinal diseases Long-term Metformin use for type 2 diabetes management Following strict vegan diet without proper supplementation Previous weight loss surgery affecting absorption Family history of pernicious anemia or sickle cell anemia Presence of age-related macular degeneration How Can You Tell If You Have a True B12 Deficiency