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Common examples include fatigue or low energy with normal blood results, brain fog or reduced concentration without confirmed vitamin B12 deficiency, stress-related exhaustion or burnout, increased metabolic demand such as during illness recovery, high workload, or intense training, restrictive or inconsistent dietary intake, or suspected poor oral absorption despite normal serum levels

When people try weaning off Sertraline, some will have a tougher time of it than others

I.ChaiJ.GonzalezJ.MonnerieH.Le RouxP

Mittal M, Siddiqui MR, Tran K, Reddy SP, Malik AB (2014) Reactive oxygen species in inflammation and tissue injury

Hepatic impairment/alcohol use: Consider 23 g/day ceilings, extend dosing intervals, and monitor LFTs for multi-day use