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These effects can lead to: Reduced dietary intake of B12-rich foods (meat, fish, dairy, eggs) Altered eating patterns with potential nutritional inadequacy Reduced nutritional intake if gastrointestinal symptoms are severe or prolonged Vitamin B12 deficiency can manifest with significant clinical consequences, including macrocytic anaemia, peripheral neuropathy, cognitive impairment, fatigue, and mood disturbances

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It is appropriate after weight loss, when one area has not responded the way the rest of the body did, and it is not a substitute for a weight-loss plan

She presented with a well-demarcated round patch of complete scalp hair loss, a pattern distinct from the diffuse thinning seen in telogen effluvium