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This biochemical starvation directly contributes to the severe mood dysregulation, sleep disturbances, and the profound cognitive blankness often described by patients as brain fog

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Detailed Initial Evaluation We begin our process with a thorough assessment of the patients current health, including their medical history, any existing conditions such as diabetes or thyroid disorders, personal habits, metabolic rate, weight, and personal objectives for weight loss

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The authors considered the unexpected equivocal results possibly due to undocumented deficient maternal B 12 liver stores or gastrointestinal malabsorption.[50] Forty-eight vegan and vegetarian mothers in the U.S