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10.1111/cns.14604 124 WangX.HuM.ChenJ.LouX.ZhangH.LiM.et al (2024)

It is also important to note that self-treating with over-the-counter B12 supplements without a confirmed diagnosis may mask symptoms without addressing the root cause, particularly if the deficiency is due to malabsorption rather than dietary insufficiency

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Factors affecting riboflavin excretion Physical activity and sleep can decrease riboflavin excretion (Soares et al., 1993)

Castello, N

Conclusion This case demonstrates that mycotoxin-associated illness may present without a full CIRS biomarker profile and may require a staged therapeutic approach