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Steps to begin reversing B12 deficiency hair loss: Get tested: Blood tests to check B12 and related markers like folate and iron

The prevalence of B12 deficiency in those older than 60 years is between 10% and nearly 20%.7,8 Because multiple causes can coexist in elderly patients, including poor absorption, protracted metformin use, and reduced dietary intake, these patients have the greatest risk for B12 deficiency and should be carefully monitored for signs of deficiency

Symptoms include difficulty swallowing, speaking, and breathing, and generalized muscle weakness

A common polymorphism in HIBCH influences methylmalonic acid concentrations in blood independently of cobalamin Am J Hum Genet 2016;98:869-82
