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This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

doi: 10.1097/EDE.0000000000000750 126 JinJBianYGuZLinM

Impact of oxidative stress on oocyte competence for in vitro embryo production programs

Furthermore, the participants did not have hair loss conditions, although they did report issues with hair thinning