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Common signs include: Persistent fatigue or low energy Brain fog or poor concentration Pale or yellowing skin Pins and needles or tingling sensations Low mood or irritability Muscle weakness Breathlessness Left untreated, a deficiency can lead to serious complications affecting your nervous system and long-term wellbeing

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Serum GGT levels have been reported to be subnormal in acute intrahepatic cholestasis due to drug-induced liver injury, viral hepatitis, and autoimmune liver disease

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