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An overnight fast of 8-12 hours is recommended prior to getting a B12 blood test

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However, avoid applying too much pressure or massaging aggressively, as this could lead to irritation

on a cohort of 218 institutionalized elderly patients with median age 80 years old showed that an algorithm that combined biochemical, hematological, and morphological data proved more effective for the diagnosis of vitamin B 12 than the isolated markers (Palacios et al., 2013)

It depends on your goals and diet