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It is important to note that the CBC can be normal but you can still have a B12 deficiency

doi:10.1210/endo.141.11.7873

Mol Neurobiol 54:54405448 Lizrraga KJ, Lang AE (2022) Vitamins B6 and B12, levodopa, and their complex interactions in patients with Parkinsons disease

These arguments are largely based on rodent studies, which have found that prolonged fasting can reduce serum IGF-1 by up to 40% (18)