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3 The avoidance of innocuous pain triggers, such as brushing teeth, chewing, and swallowing, may result in an inability to maintain adequate oral hygiene, anorexia, weight loss, dehydration, and anxiety around performing these necessary activities

This depends on how severe the deficiency was, how well they respond to treatment, and their health

1990 Jun 15;169(2):443-50

Diflunisal derivatives as modulators of ACMS decarboxylase targeting the tryptophan-kynurenine pathway

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In fact, many of my clients were told your bloods look fine and still felt exhausted