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[Google Scholar] 6.Vitamin B12 deficiency induces imbalance in melanocytes homeostasis-a cellular basis of hypocobalaminemia pigmentary manifestations

If you do not have any of the conditions below then it is likely that your low vitamin B12 is due to your diet, in which case it is not a medical issue and can be corrected with oral supplements you can buy over the counter or online

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Use glass, ceramic, or plastic dishes and cutlery instead of metallic ones

Can vitamin B12 deficiency cause permanent damage