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Plasma vitamin B 12 and plasma folate concentrations will be estimated by microbiological assays using a chloramphenicol-resistant strain of Lactobacillus casei and colistin sulfate-resistant strain of Lactobacillus leichmannii , respectively

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Other types of migraines may find better treatment elsewhere or may transition to chronic migraines

B12 deficiency triggers this through two mechanisms: Impaired red blood cell production reduced oxygen delivery to follicles Impaired DNA synthesis disrupted cell division in rapidly proliferating follicle matrix cells Clinical studies confirm lower serum B12 levels in patients presenting with telogen effluvium, and case studies document hair regrowth following B12 correction

Post-Injection Care and Stinging Relief After injection, ice application can ease localized stinging within the first few minutes