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doi: 10.1136/gutjnl-2012-302093

Amylin receptors (AMY): Located in the area postrema (brainstem) Mediate satiety and gastric emptying effects Primary mechanism for appetite suppression 2

Lee B, Kang S, Kim K, Song Y, Cheong K, Cha H, et al

Symptoms of B12 deficiency include: Fatigue Low mood or personality/mood changes Irritability Lethargy Headaches Palpitations Loss of appetite Pale yellow tint to the skin A feeling of pins and needles (paraesthesia) Poor memory Impaired cognitive performance Depression Weakness Impaired digestion Inflammation Gastrointestinal lesions Neurological damage Since B12 is primarily found in animal products, any change in ones diet that leads to a decrease in the consumption of such products such as a vegan , vegetarian, or low-fat diet can increase the chance of a person developing a B12 deficiency

If imaging is not used, report 20552 or 20553 (trigger point injections)

Tennis elbow itself is also frequently misunderstood