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Summary: B12 and iron deficiency can cause nail changes including brittleness, spoon-shaped deformities (koilonychia), and occasionally discolouration, due to impaired oxygen delivery and cell division in the nail matrix

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The usual Neurobion Forte Injection dosage depends on the severity of deficiency, nerve symptoms, age, and medical condition

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This phenomenon is predominantly caused by cobalamin release during hepatic cytolysis and/or decreased cobalamin clearance by the affected liver

People with absorption issues need supplementation even with adequate dietary intake