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Without intrinsic factor, B12 cannot cross the gut wall, and red blood cell production, nerve maintenance, and DNA synthesis all suffer

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So, the tests you will be asked to get done are- a complete blood count to check if you have any type of anaemia, reticulocyte count to see how many new blood cells are being made in the body, serum bilirubin levels which tell how many cells are being lost as bilirubin is a byproduct of blood cell breakdown and checking amounts of homocysteine and methylmalonic acid higher values of which confirm B12 deficiency

If the tick is still attached, you have to be very careful when you remove the tick head