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Most importantly, patients reported improvements in body image and the psychosocial impact of lipodystrophy, suggesting a positive effect on quality of life

Biotin deficiency is rare but can occur in specific groups: High-Risk Groups: People with metabolic disorders or malnutrition Alcoholics and athletes Epilepsy patients , elderly , and those with gastrointestinal surgery Pregnant women (studies show 50% develop deficiency due to increased vitamin demand) Diabetes patients Dietary Causes: Long-term consumption of raw egg whites contains avidin , a protein that binds biotin and prevents absorption

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Hydroxocobalamin should be given to a pregnant woman only if clearly needed

Body composition analysis tools become more valuable than the scale for tracking progress in this population

[DOI] [PubMed] [Google Scholar] 178.Nguyen MT, Favelyukis S, Nguyen AK, Reichart D, Scott PA, Jenn A, et al