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What to monitor Visible changes: Skin texture and tone Fine line depth Hair density and quality Wound healing speed Subjective factors: Energy levels Sleep quality General sense of wellbeing Side effects: Injection site reactions Skin flushing Fatigue (especially early in use) Photograph yourself in consistent lighting at baseline and every 4 weeks

Any of these make an auto-immune cause of B12 deficiency (PA, also called autoimmune gastritis 3 ) more likely

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Less than four months later, the Richmond newspapers reported that Ernest, age 18, had been captured, along with his brother George (see), in an attempt to cross to the Union army lines

Vitamin B12 and its deficiency are one of the most complex aspects in terms of clinical management and diagnosis