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After SCI, a large number of neural cells die and axons break, leading to functional impairment

Here are some of the key ways B12 deficiency disrupts normal hair health: Slowed cell division - B12 helps produce DNA and enables cell replication needed for hair to grow from follicles

This does not invalidate the findings but adds a potential source of bias Single-blind only: While the investigator assessing photos was blinded, patients knew whether they received the active serum or saline, which could influence self-reported satisfaction scores No long-term follow-up: The study ended at 6 months

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While results may develop more gradually than with some aggressive treatments, the improvements tend to be more sustainable and come without the risk of long-term damage or irritation that can accompany harsher approaches