The exact cause is not known and we are learning more and more about the condition
Mahaffey KW, Tuttle KR, Arici M, Baeres FM, Bakris G, Charytan DM, Cherney DZ, Chernin G, Correa-Rotter R, Gumprecht J, Idorn T
Lo, Y.Y.C., Wong, J.M.S
Understanding Vitamin B12 and the Nervous System Vitamin B12 is a water-soluble vitamin that plays a crucial role in the production of red blood cells, DNA synthesis, and maintaining brain function

For Patients in Their 40s Typical Concerns : More noticeable volume loss, visible skin laxity Effective Treatment Combinations : Comprehensive Approach : Full Sculptra protocol often combined with Restylane in the same session, followed by RF Microneedling 2-3 weeks later Layered Strategy : Many patients benefit from a mix of technologies targeting different tissue depths biostimulators for deep planes, fillers for mid-level volume, and energy treatments for surface quality Customised Rotation : Typically alternating between injectable sessions (combining biostimulators and fillers) and energy-based treatments for ongoing improvement At this age, the synergistic effects of combined treatments become even more important as both collagen loss and volume depletion accelerate during GLP-1 weight loss