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In fact, there was a 2022 case report presented a 22-year-old student who exhibited hyperpigmentation as the only symptom of B12 deficiency
We hope health care providers will catch up
Less commonly, vitamin B12 deficiency results from an inadequate intake of foods that contain vitamin B12
PubMed Central (PMC)
Patients considering combination approaches should understand that this represents an unproven strategy that increases cost and injection burden without documented benefit
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