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I understand this is often the case for folks with PA

Conventional Treatment : Antidepressants, benzodiazepines, or CBT-I with partial efficacy

This complexity can make it challenging to pinpoint the exact source of discomfort, leading many to seek medical advice for a thorough evaluation

Vitamin B12 and folate deficiency can cause a wide range of problems, including: extreme tiredness a lack of energy pins and needles (paraesthesia) a sore and red tongue mouth ulcers muscle weakness disturbed vision psychological problems, which may include depression and confusion problems with memory, understanding and judgement Some of these problems can also happen if you have a deficiency in vitamin B12 or folate but do not have anaemia