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Description
These include hyperpigmentation, jaundice, vitiligo, and angular stomatitis (cracked mouth corners)

The distinction matters because treatment differs: intrinsic factor deficiency requires parenteral B12, whilst dietary deficiency often responds to oral supplementation or dietary modification

The start time is normally well documented, but the stop time is quite often omitted

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Is the nerve damage from nitrous oxideinduced B12 deficiency permanent?

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