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Increased insulin-like growth factor-1 activity has been reported in cases of polycystic kidney disease, while IGF-1 resistance where the body produces enough of this polypeptide but is unable to metabolize or use it is seen in many cases of chronic kidney failure

A deficiency in vitamin B12 can lead to fatigue, weakness, and even permanent nerve damage

Enteroendocrine cells (EECs), the microbiota, and metabolites produced by the microbiota constitute a complex signaling system [13] that involves the enteric plexus, CNS afferents and efferents, and the modulation of numerous brain nuclei like the nucleus tractus solitarius, hypothalamus, thalamus, and many others directly involved in the control of glucose and energy homeostasis [14]

You can take a test to check your gut