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Chronic low-grade scalp inflammation is now recognized as a driver of multiple hair-loss patterns, including telogen effluvium and diffuse thinning

Vitamin B12 injections are most clinically appropriate in cases of confirmed vitamin B12 deficiency, malabsorption syndromes including pernicious anaemia or post-gastric surgery, significant symptoms where rapid restoration of vitamin B12 levels is required, or failure of oral supplementation due to poor absorption