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I feel guilty that I'd let it get so bad before getting her properly treated

Signs of B12 Deficiency Beyond Hair Loss B12 deficiency rarely presents as hair loss alone

Decrease dose consideration: Persistent side effects including headaches, fatigue, or injection site reactions, excessive response (extremely rapid weight loss suggesting dose may be higher than needed), cost concerns when lower doses might achieve similar results

As a result, most of the weight loss associated with phentermine comes from eating less, not necessarily from increased physical activity

Prophylactic supplementation may be considered for select high-risk patients, particularly those with strict vegan diets, post-bariatric surgery, or on long-term metformin therapy

Landmark studies on the origin of (excessive) thalamo-cortical burst firing revealed that the balance between inhibition and excitation in thalamo-cortical networks is effective in setting the firing pattern of thalamo-cortical relay neurons by controlling the activation of low-threshold voltage-gated Ca 2+ channels (as reviewed in ref [103])