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For a long time, the manifestation of depressive symptoms has been also associated with the deficits in neurotrophic factor action in the brain [51], especially highlighting the role of diminished brain-derived neurotrophic factor (BDNF) signaling as important for the pathogenesis of this mental disorder [52]

Avoiding doctor visits or skipping follow-ups Being secretive about eating habits with providers, friends, or family members Hair loss or other signs of malnutrition Obsessive thoughts about food, weight, or exercise Persistent fatigue or low energy If youre experiencing any of the above changes, reach out to your doctor or an expert in eating disorders before you go too far down the wrong path

Physical examination: A physical exam may be necessary to assess your overall health and identify potential concerns

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Diabetic retinopathy: In people with diabetes, rapid improvement in blood glucose can temporarily worsen retinopathy