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That being said, honesty matters

238 Reactive astrocytes regulate entry and retention of leucocytes, thus controlling inflammatory response

Within this framework, the present study critically examines the nutritional factors implicated in the pathogenesis of brain fog, with particular emphasis on inflammatory processes, gut-brain axis dysfunction, and sleep dysregulation

If a patient has specific or red flag features B 12 deficiency testing should be initiated (see Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency * and/or Non-specific ** or Specific Symptom of B 12 Deficiency )