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Take home message: B12 deficiency can lead to patchy hyperpigmentation of the skin, especially in people with darker skin tones A new case study from Rajasthan, India, reports: 23 year old "strict vegetarian" woman with fatigue, dyspnea on exertion for 3 months severe pallor and darker pigmentation over the knuckles of both hands She had too little hemoglobin, and red blood cells that were too big (typical for B12 deficiency)

Cramps due to specific medical conditions may be treated by different specialists, including: Neurologists Internal Medicine/Family Medicine Emergency Medicine Orthopedists Nephrologists Endocrinologists Cardiologists Sports-medicine specialists Physiatrists Surgeons How are muscle cramps diagnosed

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B12 plays a key role in the normal functioning of the nervous system, the brain and in the formation of the building blocks of every cell in the body