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Long-term deficiency of Vitamin B-12 can affect peripheral, spinal, and cognitive nerve function, explained bymethylcobalamin's role in the synthesis of the myelin sheath, the methylation of homocysteine, and the production ofvarious neurotransmitters, such as dopamine, norepinephrine, and synephrine

& Zahran, H

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Importantly, clinical trials did not identify tirzepatide as a primary cause of anxiety in the way some antidepressants or stimulants can be

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