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2.3 Diagnosis and management Peripheral fatigue can be quantified through objective assessments of strength and aerobic capacity, while central fatigue is evaluated using self-reports and validated questionnaires that capture the patients perception of physical and mental exertion impacts on their activities and exertion levels

Nature 392 , 615618 (1998)

"Apart from a negative correlation of age with odour identification score, none of the other parameters studied showed correlations with olfactory dysfunction." Buy great deals for Vitamins, Minerals & Supplements on Amazon here Other B12 deficiency symptoms include: Extreme tiredness (fatigue) Lack of energy (lethargy) Breathlessness Feeling faint Headaches Pale skin Noticeable heartbeats (palpitations) Hearing sounds coming from inside the body, rather than from an outside source (tinnitus) Loss of appetite and weight loss

[41] and Okino et al