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Growing follicles in anagen have high metabolic demands, and a better blood supply around the follicle helps sustain the growth phase

Then theres the placebo effect

Combining the two in a single research protocol gives dual-pathway coverage of the regenerative cascade angiogenesis + cell-migration which is closer to the in-vivo process than studying either pathway in isolation

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At the same time, B12 insufficiency in the liver leads to shrinking of the intestinal cells and malabsorption of nutrients (including B12 itself), leading to a cycle of worsening B12 deficiency