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doi:10.1016/j.mayocpiqo.2019.03.002
The groups most likely to develop B12-related hair and skin changes are the same ones at risk for deficiency generally: vegans and vegetarians, adults over 50, people on long-term metformin or proton pump inhibitors, anyone who's had bariatric surgery, and people on GLP-1 protocols whose reduced appetite has significantly lowered their overall nutrient intake for an extended period
Intramuscular Injections: For severe cases or when oral doesnt work, injections are preferred
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