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Acute lethal effects of neonicotinoids have already been described in mammals in case of severe overdoses, although its mechanism of action is highly selective for insects, acting on the nicotinic acetylcholine receptors in their central nervous systems 9

Even when homocysteine levels are normal, risks may arise from impaired methylation, folate bioavailability, and environmental exposures

Moreover, addressing the problem requires a concerted effort from all stakeholders

Conclusions: These findings suggest a new link between low peripheral serotonin, L-carnitine, and fatigue

Key questions include the onset and course of symptoms, associated symptoms (heartburn, cough, voice changes), triggers, and any weight loss or systemic complaints