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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