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Below is a general step-by-step diagnostic pathway, starting with inexpensive and non-invasive tests, to more costly and invasive diagnostics

Improvement of vitamin B12 status with Spirulina supplementation in Wistar rats validated through functional and circulatory markers

These might include: Persistent fatigue that seems disproportionate to liver disease severity Glossitis (sore, red tongue) or mouth ulcers Shortness of breath and palpitations due to anaemia Difficulty concentrating or 'brain fog' Mood disturbances including irritability or depression It is crucial to recognise that some symptomsparticularly fatigue and cognitive changesare common in both fatty liver disease and B12 deficiency, potentially leading to delayed diagnosis

What Is the Evidence for Food Addiction? A Systematic Review

Kashima J, Shintani-Ishida K, Nakajima M, Maeda H, Unuma K, Uchiyama Y, et al