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Similarly, individuals who have undergone intestinal surgery, including weight loss surgery, are also at higher risk

Topical corticosteroids can However, long-term steroid use can lead to side effects, including skin atrophy, telangiectasia, and hypopigmentation

Diagnosis and management of cerebral folate deficiency

First, only two out of the four studies considered vitamin B 12 , methylmalonic acid and homocysteine levels as possible confounders for the response to vitamin B 12 therapy.(10,11) Vitamin B 12 deficiency is known to cause peripheral neuropathy and is a risk factor for development of DPN in diabetics who are on metformin