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Some research has suggested potential mechanisms by which severe nutritional deficiencies might theoretically affect hair pigmentation, including: Oxidative stress affecting melanocyte function Impaired cellular metabolism within hair follicles Disrupted synthesis of compounds necessary for melanin production A small number of case reports have documented instances where correcting severe B12 deficiency appeared to coincide with some hair colour restoration, though these remain anecdotal and do not establish causality or predict reversibility

Following exertion, patients experience reduced mental and physical stamina, accompanied by accelerated muscle and cognitive fatigue (1517)

Chamberlain, G., Fox, J., Ashton, B