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What B12 deficiency does NOT cause: Male pattern baldness (androgenetic alopecia) this is DHT-driven Female pattern thinning (Ludwig-type) also androgen-driven Patchy loss (alopecia areata) autoimmune origin Receding hairline typically androgenetic Treating B12 deficiency will not reverse pattern hair loss

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after five years, medical review still applies when recurrence risk or active surveillance remains relevant