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Anemia in hypothyroidism may result from decreased bone marrow function, decreased erythropoietin production, or iron, vitamin B12, or folate deficiency [66]

This work was supported by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2025R142), Princess Nourah bint Abdulrahman University,Riyadh, Saudi Arabia

Mochizuki M, Horiuchi M, Hiragi H, San Gabriel MC, Yasuda N, Uno T (1996): Isolation of canine parvovirus from a cat manifesting clinical signs of feline panleukopenia

Important considerations include: Greying hair has multiple causes, predominantly genetic factors Most people with B12 deficiency do not experience changes in hair colour Other nutritional deficiencies (copper, iron, folate) may also affect hair health Reversibility of greying, even when nutritionally related, is uncommon and unpredictable If you are concerned about premature greying alongside other symptoms of B12 deficiency, it is advisable to consult your GP for appropriate assessment rather than assuming a nutritional cause

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