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Common clinical drivers include: Vitamin B12 deficiency Folate deficiency Chronic liver disease Alcohol use disorder Medications (e.g., methotrexate) Bone marrow disorders Chronic inflammatory disease Hypothyroidism Key ICD-10 principle: Cell size is a laboratory observation

While the SALT tool is standardised, trichoscopic measurements (hairs per cm) would provide more granular data comparable to other studies

In AGA-affected hair follicles, the Wnt / -catenin signaling pathway is dampened, which leads to shorter-growing hair, premature hair shedding, and potentially even hair follicle miniaturization

The intramuscular route is often chosen for the first treatment because it works well

Dosage & Administration : -To prevent risk of milk fever 20-30 ml IM Immediately after partutition