Deficiency may result from several things including: Pernicious anaemia where your body cannot absorb B12 efficiently from food Diets low in B12-rich foods Certain medications, including some contraceptive pills, that interfere with absorption Low B12 levels can manifest in several ways, and many of these symptoms directly affect hair health
7,8,9,10,11,12,13,14,15 Pathogenic TNXB variants (splice site variants or variants introducing premature stop codon) usually lead to nonsense-mediated decay of the mutant RNA
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That a good OB GYN should take care of
However, this is less effective for its intended purpose and has been shown to cause thiamine deficiency in both sheep and cattle