There is a really good article on this on the Mayo clinic website that goes into detail about the various problems with b12 and how often doctors get it wrong and why testing for it is problematic. I think the many faces of cobalamin is part of the title
Volume 3, Issue 2P200-214
June 2019
The Many Faces of Cobalamin (Vitamin B12) Deficiency
Autors:
Bruce H.R. Wolffenbuttel, MD, PhD
Hanneke J.C.M. Wouters, BSc
M. Rebecca Heiner-Fokkema, PhD
Melanie M. van der Klauw, MD, PhD