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The most frequent cause of the deficiency is pernicious anemia.[1] The only Indian report of cutaneous hyperpigmentation due to vitamin B 12 deficiency is of a ten-month-old male child who was exclusively breastfed till three months of age and thereafter received diluted cows milk and occasional cereals.[3] Although the authors do not mention the cause of deficiency, it appears to be inadequate dietary intake

NIASPAN

Semaglutide showed 15 to 17 percent of body weight over 68 weeks

Keep in mind that while thyroid hormone medication is important for those with true hypothyroidism, it has been found not to be helpful for those with subclinical hypothyroidism (in spite of it commonly and erroneously being prescribed for the latter) [33, 34]