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Vitamin B12, also known as cobalamin, is a water-soluble vitamin essential for several vital bodily functions, including energy production, nerve function, and red blood cell formation

For instance: B1 Thiamine plays a key role in the metabolism of carbohydrates and fat and helps boost energy

A patient with unexplained fatigue should be worked up, not injected masking a B12 deficiency of unclear cause, or an unexamined thyroid problem, with a monthly shot is a real clinical risk

Choose a broad-spectrum mineral SPF with iron oxides for added visible light protection particularly important for melasma where visible light as well as UV contributes to darkening