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But there are also some other signs unrelated to hair that may indicate a B12 shortfall: Fatigue, weakness and lack of energy Lightheadedness Pale skin Shortness of breath Heart palpitations Loss of appetite Numbness and tingling Cognitive changes like memory loss Depression Along with hair shedding, some other specific hair-related symptoms can signal low vitamin B12 levels: Thinning hair on the scalp or other body parts Dry, brittle hair prone to breaking Unusual hair texture - straight hair becoming curly or vice versa Faster graying of hair Changes to the hairline, like a widening part However, many factors beyond nutrient deficiency can also cause hair loss and premature graying

Whilst there are published reports showing levels above normal can cause acne, there are no data Im aware of to show whether or not there might be a subset of patients in whom normal serum levels can trigger acne or an acne-like rash, she says

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Some patients report it as a less painful alternative because the needle that goes into the fatty tissue just below the skin is thinner and shorter, usually one-half to five-eighths of an inch long