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Factors that influence outcomes include the extent of follicle miniaturization, the duration of hair loss, concurrent treatments being used, overall health status, and genetic factors that remain poorly understood

However, it is important to note that not all symptoms resolve completely , especially if neurological damage was severe or prolonged before treatment commenced

Blood tests and other diagnostic measures can help identify specific deficiencies or conditions the injections could address

Delivery matters for some people Intramuscular injections deliver B12 directly into muscle, bypassing absorption problems

[6] Caution is advised in patients with advanced renal impairment or those receiving dialysis, given the renal clearance of carnitine and the risk of accumulation