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Case Presentation A 71-year-old female with no prior psychiatric history presented with sudden onset of: Severe anxiety Insomnia Cognitive dysfunction Fatigue Severe neck and shoulder pain Abdominal pain New intolerance to previously well-tolerated foods Symptoms began within months of moving into a new office building , suggesting a potential environmental trigger

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Moreover, NF-B pathway activation impaired the GSH/GPX4 axis by triggering HIF-2 generation (Zhang et al., 2024c)

Individuals taking Semaglutide typically experience a reduction in body weight ranging from 12-15%, with the most significant decreases usually observed within the initial 12 weeks of administration

The British Dietetic Association recommends vegans take a daily supplement of at least 10 micrograms or a weekly supplement of 2,000 micrograms, as plant-based diets lack natural B12 sources