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Vitamin B12 and Hair Loss at a Glance When to Test and What to Do Consider a B12 test if you have hair loss plus fatigue, pinsandneedles, low mood, tongue soreness, or a vegan/vegetarian diet, gut issues, or longterm acidsuppressing or metformin use

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utilizing these values can also help distinguish B12 deficiency from folate deficiency (with folate deficiency, MMA will be normal and homocysteine will be elevated) (6) Levels less than 200 pg/mL are considered deficient (2) Once deficiency is confirmed, it is important to address underlying etiology