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doi:10.1007/s11695-017-3102-y

For example, this is common among people who follow a vegan diet

111 Understanding how genetic and epigenetic, neurologic, hormonal, and immune mechanisms contribute to the experience of pain may help patients reconceptualize their condition, feel less anxious, and feel more empowered to make changes that can improve their outcomes

People most at risk of deficiency include older adults, vegans, and those with specific medical conditions or taking certain medications

But beware, there is a tendency for the doctor to think the more symptoms a person reports, the more likely the cause of the symptoms is psychological

Severe liver or kidney conditions