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Subsequently, -ketoglutarate enters the TCA cycle to replenish the mitochondrial citrate pool

2002;C42:307354

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Altered dopaminergic transmission could contribute to feelings of anhedonia, reduced motivation, or in some cases, increased anxiety, particularly in individuals whose reward systems were heavily dependent on food-related dopamine release

Run a lab panel: ferritin, iron, vitamin D, B12, zinc, thyroid