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[11] This indicates that animal reproduction studies have shown an adverse effect on the fetus, and there are no adequate, well-controlled studies in pregnant women

deficiency (more common in those following plant-based diets or with malabsorption) can cause palpitations and fatigue, primarily through anaemia [2] [3] Vitamin D some observational studies have suggested a possible association between low vitamin D and cardiac arrhythmias, though the evidence remains preliminary and no causal link has been established [20] [21] Calcium severe hypocalcaemia can affect cardiac muscle function, though this is rarely caused by dietary restriction alone and usually reflects an underlying medical condition If you are concerned about nutritional deficiencies, your GP can arrange appropriate blood tests, which may include a full blood count (FBC), ferritin, vitamin B12 and folate, and urea and electrolytes (U&Es), with magnesium and calcium checked if clinically indicated

Storage in clear or translucent containers exposed to direct sunlight is documented to shorten the effective window

(viii) genetic examination confirming the homozygous or heterozygous mutation of the SLC19A3 gene

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