acetyl l carnitine with alpha lipoic acid Horbäach HCL & 1200mg | 120 Capsules | ALC ALA Complex Source Naturals Acetyl L-Carnitine &

When megaloblastic anemia develops, vascular congestion increases and periorbital hyperpigmentation occurs

Shi Z, Zheng J, Tang W, Bai Y, Zhang L, Xuan Z, Sun H, Shao C

Curr Drug Metab (2020) 21:107990

If you are experiencing hair fall and suspect B12, look for accompanying signs: Neurological: Tingling or numbness in hands and feet Memory issues or brain fog Fatigue and weakness disproportionate to activity level Hematological: Pallor, breathlessness on exertion (from anemia) Rapid heartbeat at rest Oral: Soreness or redness of the tongue (glossitis) Mouth ulcers Skin: Hyperpigmentation (particularly in darker skin tones) Premature graying B12 deficiency is associated with early hair greying as melanin synthesis requires adequate B12 If you have hair loss without any of these symptoms, androgenetic alopecia is a more likely primary diagnosis though B12 can coexist as a contributing factor