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Individuals with autoimmune thyroid disease also have a high prevalence of vitamin B12 deficiency

The metaphor of awakening sluggish or dormant neurons can be misleading

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In case 1, low Vit B12 levels with evidence of macro-ovalocytes and hypersegmented neutrophils on PS confirmed the coexistence of a megaloblastic anemia which had altered the erythrogram findings

It's not just theoreticalmultiple Reddit users describe worsening depression or "severe depression after stopping Lexapro." source

The pharmacokinetics of tirzepatide after a single 5 mg dose were evaluated in patients with different degrees of renal impairment (mild, moderate, severe, ESRD) compared with subjects with normal renal function