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Dreisbach et al also reported increased hearing difficulties in US military personnel exposed to JP-5 and noise compared to those who were exposed to noise only at Marine Corps Air Station Miramar, although these differences were not statistically significant

10.1016/j.ab.2016.12.022 7

Importantly, GHR ablation in tyrosine hydroxylase (TH)-expressing neurons leads to increased GH amplitude, IGF-1 levels, and animal growth [24]

These effects can lead to: Reduced dietary intake of B12-rich foods (meat, fish, dairy, eggs) Altered eating patterns with potential nutritional inadequacy Reduced nutritional intake if gastrointestinal symptoms are severe or prolonged Vitamin B12 deficiency can manifest with significant clinical consequences, including macrocytic anaemia, peripheral neuropathy, cognitive impairment, fatigue, and mood disturbances

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