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The Pan African Medical Journal

doi: 10.3389/fphar.2020.00886

Your body produces it in response to injury

Symptoms include: Brain fog Lack of concentration Extreme tiredness or fatigue Pins and needles Glossitis (red and sore tongue) Unbalanced mood Pale skin Consequently, such misidentification can cause delays in diagnosis and treatment, leading to needless patient distress and the potential for irreversible harm

The biological basis for this is documented in the 2007 Pyo study and the 2018 Pickart review