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A clinician may consider tests based on your symptoms and medical history, such as: Complete Blood Count (CBC), especially if fatigue or Anemia (anaemia) is suspected Serum vitamin B12 level (and sometimes methylmalonic acid and homocysteine, if clinically indicated) Kidney and liver function tests Blood glucose testing, if neuropathy symptoms or diabetes risk is present If there are persistent neurological symptoms and high vitamin B6 exposure is suspected, your clinician may assess vitamin B6 status and consider neurological evaluation If overdose is suspected in a child, treat it as urgent and contact a medical professional immediately