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Beyond hair changes, watch for these warning signs: Energy and Physical Symptoms: Persistent fatigue and weakness Breathlessness Pale or yellowish skin Heart palpitations Dizziness or lightheadedness Cold hands and feet Neurological Symptoms: Tingling or numbness in hands and feet (pins and needles) Difficulty walking or balance problems Muscle weakness Cognitive and Mood Symptoms: Brain fog or difficulty concentrating Memory problems Mood changes, irritability, or depression Confusion Other Signs: Sore, red tongue (glossitis) Mouth ulcers Changes in vision Loss of appetite Hair and Appearance Changes: Increased hair shedding Hair thinning Premature greying Brittle hair Dry skin Weak, ridged nails If youre experiencing several of these symptoms alongside hair changes, B12 deficiency could be a contributing factor worth investigating

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INCRELEX (mecasermin) injection Highlights of Prescribing Information (2025 revision)

Judelson, R

Lucchetti, G., Koenig, H