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Here are some red flags: Constant tiredness, even after a good nights sleep Brain fog or memory issues Irritability, low mood, or depression Tingling or numbness in your hands or feet Pale or yellow-tinged skin Shortness of breath or dizziness Mouth ulcers or a swollen, red tongue If youre experiencing any of these symptoms, it may be time to check your B12 levels

57 SUMMARY With the epidemic of GORD and more awareness among gastroenterologists, BO is becoming increasingly recognised in clinical practice

However, the action of DSIP goes deeper it also affects the hypothalamus-pituitary axis, which can have a positive impact on the secretion of luteinizing hormone (LH)