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Topical scalp: 0.5 % solution, 12 ml twice daily for at least 6 months

People at highest risk include those with pernicious anaemia, strict vegans and vegetarians, individuals over 60, patients with gastrointestinal disorders (Crohn's disease, coeliac disease), those who have had gastric or bariatric surgery, and long-term users of metformin or proton pump inhibitors

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These medicines have well-characterised safety profiles and are prescribed within a structured clinical pathway that includes monitoring and follow-up

Studies show that follicles in balding scalp areas have compromised blood supply compared to areas with normal hair density