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Improvements in skin and connective tissue : Increases in growth hormone and related growth factors can enhance collagen turnover and skin texture, leading to smoother, more vibrant skin

The future of surgery lies not just in perfecting operative techniques, but in optimizing the biological processes that determine surgical success

These include: Neurological symptoms : tingling or numbness in hands and feet (peripheral neuropathy), difficulty walking or balance problems, memory difficulties, or mood changes including depression Haematological signs : persistent fatigue, weakness, pale or jaundiced skin, or shortness of breath Glossitis : a sore, red, smooth tongue Cognitive symptoms : difficulty concentrating, confusion, or "brain fog" Seek urgent medical attention if you experience rapidly worsening neurological symptoms, significant difficulty walking, severe paraesthesia, or marked cognitive decline, as these may require immediate assessment