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Haro C, Villena J, Zelaya H, Alvarez S, Agero G

I do admit this could just be the types of clients I see in clinic, and maybe none of the clients Ive worked with react to B12 or biotin supplements (remember that study listed 1 person reacting, out of 10 people)

In a randomized clinical trial comparing oral and parenteral therapy, both groups showed similar reductions in mean corpuscular volume and increases in hematocrit at 4 months.11 The present case highlights the causal relationship between vitamin B12 deficiency and generalized skin hyperpigmentation, an association that presents a wide variety of dermatological manifestations