In the diabetic population studied by Rosenstock et al
Vitamin B12 deficiency is well known for causing neurological damage, often presenting as peripheral neuropathy and cognitive decline, as well as for the development of cerebrovascular, Parkinsons, and Alzheimers diseases (, )
Patients who experienced hair loss on semaglutide and switch to tirzepatide, or who explore newer options like retatrutide or cagrilintide , should implement the prevention protocols from day one of the new medication
This phenotype resembles the symptoms observed in patients with neurodevelopmental disorders who were exposed to extrinsic stressors, such as viral or microbial infections, during critical developmental periods
Montgomery JM, Zamorano PL, Garner CC (2004)
8 An increasing number of GPs and patients advocate for changes to policy and practice that enables self-management of the disorder, including self-injection