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Dermal thickness, defined as the distance from the epidermaldermal junction to the dermaladipose junction or to the loose connective tissue subjacent to the panniculus carnosus, respectively, were determined at five randomly selected sites per h.p.f., as previously described 65

In addition to fatigue, a deficiency of B12 can lead to other symptoms like pale skin, headaches, depression, gastrointestinal problems, difficulty concentrating, decreased mental function, mouth and tongue pain or inflammation, and paresthesia in your hands and feet

After our call, I received my B12 shipment the next day

This conservative approach minimizes copper toxicity risk but may require 16+ weeks to produce observable density changes