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Diagnosis, Treatment and Long-Term Management of Vitamin B12 Deficiency in Adults: A Delphi Expert Consensus - PMC

This assessment evaluates: Facial muscle strength Skin elasticity Existing wrinkles Areas where muscles cause repeated creases This step helps identify the muscles that cause wrinkles

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[8] [4] The body cannot produce B12 naturally, so it must be obtained through diet (primarily animal products) or supplementation