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After 3-6 months: As skin elasticity and firmness continue to improve, scars and hyperpigmentation might begin to noticeably fade at this stage

This is based on how well the patient responds and the severity of their deficiency

They are effective in combatting fatigue, anemia, mood swings, and "brain fog

Stern 2012

For example, clinical studies have shown that the combination of glucocorticoids and GL for the treatment of chronic DILI can simultaneously achieve biochemical response and histological improvement, with good safety (Table 3)

Vegans and Vegetarians Vegans are at the highest risk of B12 deficiency because they consume no animal products