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If a patient has both pernicious anaemia and a bariatric procedure, their B12 deficiency is essentially guaranteed without parenteral supplementation

Combined, these medications can intensify GI side effects and increase cardiovascular stress

Researchers postulate that this can lead to deficiencies in important nutrients needed to stimulate hair growth, such as protein, biotin (vitamin B7), iron, zinc, and vitamin D

These formulations often come in the form of drops, capsules, or sublingual tablets