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The mechanism appears to involve the nitric oxide (NO) system
This network reinforces behaviors tied to pleasure and reward
However, access still depends heavily on local resources
People who are unable to absorb vitamin B12 from their diet or through their digestive system
Research published in Behaviour Research and Therapy found that high-focused hair pullers have more symptoms of anxiety and depression than low-focused pullers
Patients should be counseled about the risk of dehydration and potential acute kidney injury with severe gastrointestinal symptoms, and the need to temporarily hold medication and seek care if severe vomiting or diarrhea occurs
