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Glucose is the brain's primary fuel source, and when meals are delayed, skipped, or very low in carbohydrates, blood glucose can fall to the lower end of the normal range, producing symptoms such as light-headedness, difficulty concentrating, and shakiness

75 These values can then be used to determine if a clinically significant response to treatment has occurred

However, they also speculate that the condition might be more complicated, as they are seeing some evidence of dysfunction involving the ovaries or testes as well

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