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The enhanced metabolic efficiency also supports better energy balance, making it easier to maintain weight loss results long-term

Some gastrointestinal issues or loss of appetite may also benefit from a more stable metabolic rate

Hughes, CM

Because of its long-term health risks and ease of transmission in certain situations, prevention through vaccination and safe health practices is extremely important, especially for travelers visiting regions with higher infection rates

The American Academy of Family Physicians and NIH identify the following clinical manifestations: Fatigue and generalized weakness Megaloblastic anemia (abnormally large, immature red blood cells) Tingling or numbness in the hands and feet (peripheral neuropathy) Difficulty walking and balance problems Cognitive disturbances including memory difficulty and confusion Mood changes, including depression and irritability Glossitis (swollen, inflamed tongue) Early symptoms such as fatigue and mild tingling are often attributed to stress, aging, or other conditions