This document summarizes a presentation on vitamin B12 deficiency. It reviews the pathophysiology of B12 deficiency including its effects on hematopoiesis and neurons. The clinical presentation and differential diagnosis are discussed. Diagnostic tests including blood tests and intrinsic factor antibodies are outlined. Treatment options including B12 supplementation through various routes of administration depending on the ability to absorb are described. Illness scripts contrasting different causes of B12 deficiency like pernicious anemia and malabsorption are provided. Two multiple choice practice questions related to B12 deficiency diagnosis and treatment are presented at the end.