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Symptoms may include fatigue, weakness, memory problems, difficulty concentrating, mood changes, numbness or tingling in the hands and feet, and difficulty maintaining balance
(e) cross-sectional studies with no time restriction, (f) only studies published in English were included due to resource limitations and to ensure accuracy in data extraction and risk-of-bias assessment
When levels are low, everyday tasks can feel more difficult, and symptoms such as fatigue, brain fog, mood changes, or weakness may appear
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