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Diagnosis typically involves blood tests including full blood count (showing macrocytosis), anti-intrinsic factor antibodies (which are specific for pernicious anaemia), and sometimes anti-parietal cell antibodies

Some individuals may also consume fewer foods naturally rich in B12, especially if their diet changes significantly

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In addition, you will have a physical exam and might have some tests, such as the following: Urinalysis , a urine test used to diagnose urological conditions Urine culture , a test that checks for bacteria Urine cytology , a test that checks for cancer and other diseases Cystoscopy , a test that allows your doctor to see the inside of your bladder and urethra Imaging tests , such as ultrasound or CT scan, of your bladder and kidneys Blood tests to measure levels of waste products in the blood