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103 The cells are able to decrease proinflammatory cytokine expression levels as is the case with IL6, IL1, and IFN

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Therefore, the purpose of this review is to suggest a possible autoimmune origin against the adenohypophysis and a possible improvement of symptoms after treatment with corticosteroid replacement therapy

Fatigue is common and can be caused by many things, including: Iron deficiency Low vitamin D Thyroid issues Poor sleep quality or sleep apnoea Stress and burnout Low mood/anxiety Dietary patterns and hydration Long-term conditions Thats why we always recommend basing B12 treatment on clinical context, and ideally blood test results, rather than guessing