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This has important implications in securing substrate mobilization and gluconeogenesis during fasting and explains the cardinal hypoglycemic symptoms in GHD and GHIS newborns in the absence of intrauterine growth retardation (IUGR)

Common symptoms can include : Tingling / numbness in hands/feet Tiredness, exhaustion, significant fatigue Brain fog, impaired thinking and memory Flaking nails, dry skin Shortness of breath Dizziness, difficulty with co-ordination, vertigo Fluctuating weight, gastrointestinal symptoms/poor digestion Irritability, problematic sleep, depression, low libido, mood swings Diagnosing Pernicious Anaemia Due to often slow-growing, generalised symptoms, PA is often overlooked and many can be without treatment for years

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Obsessive Compulsive Disorder as Early Manifestation of B12 Deficiency

Real-world data shows that 70-80% of patients feel a significant energy surge within 24-72 hours

10.1177/15648265080292S110 139 SelhubJ.MorrisM