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Additionally, psychosomatic diseases currently include stomach neurosis, habitual vomiting, psychogenic constipation, as well as peptic ulcer disease of the stomach and duodenum, which does not arise only from chemical, infectious, or traumatic factors but also from prolonged stress stimuli

Neurosci Lett 639:6572 Bhattacharya SK, Bhattacharya A, Sairam K, Ghosal S (2000) Anxiolytic-antidepressant activity of Withania somnifera glycowithanolides: An experimental study

After we tracked symptom logs across several users for 4 weeks, the pattern became clear

In the scenario of cobalamin deficiency, the methylation of Hcy to methionine will essentially lead to an excessive turnover of Choline resulting in a posited cholinergic deficiency