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This is especially relevant if you: follow a restrictive diet, like a vegan diet are over the age of 60 are pregnant or nursing have a medical condition that can deplete B12 levels take a B12-depleting medication, like metformin or proton pump inhibitors In addition to learning about your symptoms and giving you a physical exam, a healthcare professional can rule out a B12 deficiency by ordering various blood tests( If you’re diagnosed with too low B12 levels, your healthcare professional will recommend the most appropriate treatment