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Heartburn can also manifest as a cough, or the feeling that you need to repeatedly clear your throat, she says

These cells, which accumulate with age or stress, contribute to organ dysfunction by promoting chronic inflammation and impairing tissue repair

Age and associated comorbidities can help in the differential diagnoses

If vitamin B12 levels are low, people may experience: Persistent tiredness or fatigue Reduced energy levels Difficulty concentrating Dizziness or weakness For this reason, some travellers consider a B12 injection before a summer holiday in the North West UK to support normal energy levels and reduce travel fatigue

However, like any medical intervention, there can be potential side effects

11 Nervous System Support from B Vitamins During Menopause The nervous system is responsible for regulating and maintaining balance in your body