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Oral supplementation (50–150 µg daily) may suit dietary deficiency without nerve involvement, but malabsorption cases require injections

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Keywords: cutaneous manifestation of vitamin b12 deficiency, adisonian mimick, vitamin b12 deficiency symptoms, cutaneous hyperpigmentation, hyperpigmentation Introduction The deficiency of vitamin B12 can cause specific skin manifestations, such as hyperpigmentation, vitiligo, angular stomatitis, and hair and nail changes [1]