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External factors include temperature fluctuations, bright lights, loud noises, and strong odors, while internal triggers encompass anxiety, emotional stress, insomnia, specific foods, and inadequate blood glucose supply (4)

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Groups that may benefit include: Individuals with high energy demands due to work or exercise Those following vegan or vegetarian diets, which can be low in B12 Older adults, as B12 absorption can decrease with age B12 and Folic Acid Combination Injections Healthcare providers might suggest combination injections for low B12 and folic acid levels

These are available via the NHS or at specialist clinics, such as Aesthetics of Essex