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However, supplements only To assess for a vitamin B12 deficiency, a doctor will likely: ask about symptoms carry out a physical examination do a blood test to measure B12 levels and check for anemia do other tests to rule out other conditions and check for pernicious anemia, if necessary Some people will have a B12 deficiency but no symptoms

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The reason for this is that stress causes a release of adrenalin, which can be a trigger for hives