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The result is thinner, less resilient skin that wrinkles more easily and recovers more slowly from stretching

This ensures that the patients decision is voluntary and well-informed

Other symptoms may include: Glossitis (sore, red tongue) Mouth ulcers Visual disturbances (rare, due to optic neuropathy, requiring urgent assessment) Gastrointestinal symptoms such as diarrhoea or constipation It is crucial to recognise that neurological damage from B12 deficiency can become irreversible if left untreated for prolonged periods

She is regularly recognized by Castle Connolly, New York Magazine, Super Doctors, and The New York Times as one of New Yorks top dermatologists for her dedication and expertise

A total of 462 articles and documents were excluded after the full-text screening, of which 57 were written in languages other than English, and 206 failed to provide significant findings for Homocysteine, vitamin B12, and folate levels