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However, many people in the UK find themselves in a frustrating "grey area" where their NHS blood results for TSH and Free T4 come back as "normal", yet the crushing fatigue, brain fog, and muscle aches persist

The authors considered the unexpected equivocal results possibly due to undocumented deficient maternal B 12 liver stores or gastrointestinal malabsorption.[50] Forty-eight vegan and vegetarian mothers in the U.S

Additional proposed mechanisms include interaction with NMDA receptors and modulation of the stress and HPA axis , the hypothalamic-pituitary-adrenal system that governs the body's stress response