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According to NICE Clinical Knowledge Summaries, the health consequences of untreated B12 deficiencyincluding irreversible neurological damage, megaloblastic anaemia, and cognitive impairmentfar outweigh the inconvenience of manageable acne

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Availability of data and materials The datasets used and/or analyzed during the current study are available as MS Excel files (.xlsx) and RevMan file (.rm5) from the corresponding author upon reasonable request