Butternut Squash Soup Recipe

Butternut Squash Soup Recipe

This recipe is from my Fall Cleanse & Reset Program 

I’ve been hard at work gathering the resources and materials for my Fall Cleanse and Reset Program. I was asked to share some of my favorite squash & pumpkin recipes. What a great idea! This is a wonderful way to share and to let folks know that a cleanse and reset doesn’t have to be boring, nor does it mean you will have to starve yourself. Instead, it can be quite nourishing and yummy! Well, here’s one of my favorites! Enjoy, and let me know how you like it.

Stay Healthy and Boost Immunity with these Ayurvedic Tips

Stay Healthy and Boost Immunity with these Ayurvedic Tips

Use these Tips to Boost Your Immunity during COVID-19

These tips are good to follow at any time, but especially now, as we want to support our body’s immune response system and do the most we can to be strong and healthy. It’s our very BEST defense agains COVID-19.

#1. Eat Clean

Eat home cooked meals and snacks made with fresh fruits, vegetables, herbs and spices. When available, eat foods that are in season, locally grown, and organic. If you can’t find locally grown or organic foods, just do the best you can with the freshest options available to you. Avoid processed foods, most dairy products, sugar, and any refined grains. If you are interested in joining me for a spring cleanse that is nutritious and delicious, as well as gluten free, dairy free, sugar free and night-shade free, I’m making that available to anyone for FREE this spring due to the challenges we are facing with the Corona (COVID-19) Virus.

  • Favor and use these favorite spices from the Ayurvedic tradition: Turmeric, Ginger, Black Pepper, Cinnamon, Basil and Garlic. These spices provide an array of benefits in addition adding flavor to our foods. Ayurveda suggests that we should have all six flavors at each meal, and spices help us to easily do this. (The six flavors are: sweet, sour, salty, pungent, bitter and astringent).
  • Choose from a colorful array of fresh fruits and vegetables.  When available choose fruits and veggies that are in season, locally grown and organic. I believe it pays to know your local farmers. It is expensive to become a “certified organic” farm, but many local growers and small farmers do use organic practices. I like to visit the farmers market and the farm to get fresh vegetables and eggs. The eggs I have been getting are beautiful brown eggs from chickens that are cage free. get to roam outdoors and they are fed soy free organic, not GMO feed. Remember, you are not just what you eat, but you are what you eat ate.
  • Fresh fruits and vegetables, herbs and spices are indeed natures “Farm” acy.
  • If you’d like to check out my Spring Cleanse, please do. Right now, you can have access to all of the materials and on-line support for FREE. I am accepting OPTIONAL donations to defray the cost of the program, but donations are completely voluntary. I welcome you to join and participate in a community of like-minded folks determined to improve their health during this time.

#2. Stay Hydrated

Drink pleanty of water at room temperature or hot water with fresh ginger and lemon or herbal teas.

  • The minimum daily recommendation for water is to drink half your body weight in pounds in ounces of water. Meaning, if you weigh 150 pounds, you should drink 75 ounces of water per day. Herbal teas do count so long as they are not caffeinated.
  • If it is hot or humid and you are doing a lot of exercise, you may need more than the minimum daily amount.
  • Remember caffeinated drinks such as coffee and some teas, as well as alcohol are diuretics so you will need to drink MORE water to offset these beverages if you consume them.
  • Ayurveda recommends you drink you water at room temperature or hot. Cold water and ice tend to dull the digestive fire.
  • Dandelion Root & Holy Basil teas are great detoxifiers. I’ll list a couple of my favorite herbal or daily detox teas below for your reference. I use 1 Tablespoon of the CCF tea to a quart of water and add a thumb-sized chunk of fresh ginger, and the juice from half a lemon. I let it boil for a few minutes then add and a green tea-bag to let it steep.

#3. Keep Moving

Find a project around the house, do yard-work, go for a walk. The gyms may be closed during the CORONA Virus outbreak, but it is important as ever that you keep moving. Find an online Yoga or exercise class, Yoga studios are closed but there are some offering classes online. Be creative, be flexible, keep moving! One of my FAVORITE Yoga Studios will begin to offer classes virtually this week. I’ve been enjoying working in my yard, I’ve planted a few things … and I’ve been resourceful so I don’t have to go out for supplies. I have lettuce growing on the porch in the top of a garbage can and it is just beautiful. Nature has not paused, and we’ve had a few gorgeous spring days for being outside and taking a walk. The birds, the plants, and all of Nature seem completely oblivious to the Corona Virus and it is quite refreshing to be near the earth and nature at this time.

#4. Practice simple detoxifying routines

Practice these simple daily routines to stimulate your lymphatic system and keep your respiratory system clear and lubricated.

  • Use a Neti pot each day to wash your sinuses. Be sure to use distilled or filtered water and not tap water. I like to warm the water to just above body temperature, and add 1/8 teaspoonful of sea salt to the water. (Note: do not use tap water and do not use iodized salt.) Pictured below is the neti pot I have and it comes with salt. It says it is dishwasher safe, but I always wash it by hand, my experience is that it is not microwave safe.
  • Use Nasya: lubricate the sinuses after washing with the Neti pot by using 2 drops of sesame oil in each nostril. This can be done one to two times per day.
  • Do a self-massage, called abyanga, in Ayurveda. You can use sesame oil or other herbal oils. I like to use a blend of oils infused with essential oil.
  • Take a couple of minutes and use a dry brush before getting in the shower. Start from your feet and work up, or from your hands and work towards your shoulders. You can probably pick up a dry brush from your local grocery store. I’ve also included a link to one at Amazon so you can order there or just see a photo of what you are looking for. Always go from your extremeties to the center of your body. This stimulates your lymphatic system.

#5. Keep a Positive Mental Attitude

  • Keep yourself busy. Find fun projects to do or catch up on things you normally haven’t had the time to do.
  • Avoid going down the rabbit hole of watching a constant stream of negative news on TV, the Internet or social media.
  • Stay connected to friends, loved ones and community. Social Media, Video calls, FaceTime, Zoom, Skype all offer us a multitude of ways to stay in touch and connected to loved ones and community. The phone is great, but it also is a wonderful experience to have someone join you in your home for a little while for a tea time or visit via a video call.
  • Practice gratitude. Take a few moments each day to think of several things and take time to genuinely feel gratitude for the good things in your life. I suggest you begin each day with this practice.
  • Meditate: Meditation has been shown to reduce stress, lower blood pressure, increase immune function and help us to stay calm and present. There are many guided meditations, I teach a mantra-based meditation called Primordeal Sound Meditation, and if you want an App to help you meditate and program your brain to stay positive, healthy, focused and make the best choices, here is a link to an App called BrainTap that will allow you to experiment and try it out for 15 days free.
  • Practice Present Moment Awareness. Stay in the present moment. Don’t dwell on the past and don’t worry about what may happen in the future. Most of it you have no control over. Your mind mind will be the most calm and your actions the most effective if you can stay in the present moment. Often, if you do this, you will realize that “at this moment, I am okay and I have everything I need.”

#6 Smudge

Do an energetic cleansing of your home and office with sage or palo santo.

#7. Use aromatherapy

Diffuse eucalyptus, basil, rosemary, sage or frankinsense … or use a blend such as YoungLiving’s Thieves or OnGuard by Dotera.

  • Long ago I determined that what I put ON my body is as important as what I put IN my body. I am a YoungLiving distributor, although I don’t generally actively promote it. I just use the products. However, if you would like to learn more, please contact me — the most cost effective way to enjoy their wonderful products is to become a member or distributor. I can help you.

#8. Wash your hands

Wash your hands thoroughly several times each day, especially if you have to go out to the grocery store or for some other essential errand.

Disclaimer: Results may vary. Kay Rice, M.Ed. &/or Spontaneous Health, LLC does not dispense medical advice or prescribe the use of any technique as a replacement form of treatment for physical, mental or medical problems by your doctor either directly or indirectly. Kay Rice, M.Ed.’s intention is to offer a variety of information and tools to help the reader in their quest for optimal health, spiritual growth, emotional and physical well-being. We may have an affiliate relationship with some of the products on this site. This means, if you purchase a program or product by clicking on a link for it on the site, we may receive a small commission for your purchase. This helps support us in bringing you educational and motivational information and support.

Seasonal Cleanses: 5 Biggest Myths Debunked

Seasonal Cleanses: 5 Biggest Myths Debunked

Have you ever considered doing something healthy and then along come the nay-sayers? Not to worry, here are the 5 biggest myths about doing a seasonal cleanse debunked. If you are ready to get back on track after the winter, want a diet or metabolism re-set or a jump start to eating healthier, a cleanse could be perfect for you. In addition, done right, a cleanse can help you identify any food sensitivities causing you symptomes that you had not been aware of. 

The ancient wisdom teachings of Ayurveda recommend a seaonal cleanse for everyone who wants to experience optimal health. It also suggest a cleanse should be nourishing as well as support your body in eliminating any toxins. Basically, you are giving it the healthiest foods, giving your body a break and supporting it in doing it’s job of elimination, rejuvenation and providing you with optimal health and vitality.

The Truth About Seasonal Cleanses:  The five biggest myths debunked

Thanks to much of what we hear in the media, seasonal cleanses, aka detox, have earned a reputation for being unhealthy and even unsafe, not to mention uncomfortable. When you hear the words “cleanse” or “detox,” do you immediately think of all-liquid diets, expensive supplements and short-term deprivation for short-term gains? Sounds like just another new fad, right? Well … done that way, yes maybe … but done correctly …  

The truth is, doing a seasonal cleanse doesn’t have to involve any of the above—and if you cleanse in a healthy, supportive manner, you can achieve lasting results in weight loss, energy gain and full-body health.

 The following are five myths you may have heard about seasonal cleanses (aka detoxes). Understandably, these myths may cause you to be  hesitant to try a cleanse.

Keep reading to find out the truth behind these myths and why a seasonal cleanse might be just what your body is craving.

Myth # 1: Cleansing and Detoxing is just a fad

The idea of doing a seasonal cleanse to promote optimal health and well-being has been around for thousands of years. Ayurveda, a holistic health tradition more than 5,000 years old, recommends routine cleanses for optimal health. Most often they are done at the change of the seasons with natures natural rhythms. It is a time to give your body a rest, allow it to release what it no longer needs, and receive nourishment for renewal.

Myth # 2: You won’t enjoy anything you’re eating while on a detox.

While you might have to eliminate certain foods that you enjoy, detoxing isn’t all about eating lettuce with a drizzle of olive oil. There are many delicious recipes that can be prepared using healthy ingredients that not only taste amazing, but nourish and detox your body.

The best part is, many of them don’t involve any fancy ingredients and can be prepared even by a cooking novice. In fact, my cleanse participants always discover new foods and recipes that they absolutely love that have become staples in their diets long after the detox ends.

Myth #3:  You’ll constantly be hungry while detoxing.

While you might end up consuming fewer calories while following a detox, you shouldn’t feel deprived or hungry. Going on an extremely low-calorie diet can actually disrupt your hormones and metabolism, making your body less efficient in the long run.

Everyone’s caloric needs are different, so a detox should never dictate how many calories you consume. By consuming whole foods that provide you with the right nutrients, you help detox your body while feeling satisfied.  My participants are always amazed that they never feel hungry during my detoxes.

Myth #4:  You need to do an all-liquid detox to remove toxins from your body.

Liquid-only detoxes have had more than their fair share of popularity. These types of detoxes can backfire: Not only do people often gain the weight back as soon as the detox ends, but such restrictive eating for several days can be detrimental to your health. An effective detox will include a variety of whole foods to help nourish your body and produce long-term results.

Myth #5: Detoxes are just a way for people to make money on expensive supplements.

Supplements involved in a detox should be just that, a supplementary part of the program, not the primary source of your nutrition.  While on a detox, you get most of your vitamins and minerals from whole-food sources.

Supplements may be recommended to help your body make the most of the nutrients it receives from these foods.  For example, by including probiotics in your diet, you help your body produce vitamins, absorb minerals and remove toxins from the body.

Aside from the benefits discussed above, a cleanse is an incredibly effective way to identify if you have any food sensitivities, balance your hormones, and establish healthy habits for the long term.

I’ve worked with nutrition clients who not only have lost weight and kept it off, but who have also seen their energy level skyrocket, their skin clear up and even their allergies disappear. 

Are you ready to discover the benefits of healthy seasonal cleanses for yourself?

Click here to learn more about 

The Art of Healthy Living Seasonal Spring Cleanse – Starts SOON!

Spring Cleanse starts Monday, March 23, 2020.Register by March 19 for Early Bird Savings.

What questions or concerns do you have about participating in a seasonal cleanse?

Before you try something new, like a cleanse, it’s normal to feel hesitant.  I want to hear from you. Submit a comment below, messages me on Facebook or email me at kay@kayrice.com. I read every email that comes into my inbox and I promise to email you back personally.

Order Your Own Lab Work

Order Your Own Lab Work

I’m very pleased to be able to bring you this resource, lab testing at discounted prices —at a savings of 50% to 80%.

Direct lab testing is now available in 46 States! (New Jersey, New York, Maryland & Rhode Island excluded).

Your Lab Work on Your Terms

It’s an EASY three step process:

Step 1: Order Lab Tests Online

Place your order for the tests you want with no physician visit required. Select from a menu of individual tests or choose one of the popular laboratory packages.

Step 2: Local Blood Draw:

Now its time to draw your blood and there is no appointment required. Choose from over 4,000 draw stations throughout the country.

Step 3: Online Lab Report

Results are available in as soon as 48 hours. Your lab report will provide valuable insights and help you better understand and optimize your personal health.

Unlock Your Biological Data

Testing your blood gives you insight into the most important laboratory — your own body. Get baseline screening blood tests or decide to take a deeper dive by ordering from a menu of advanced biomarkers.

Know what you want?

Know exactly what you want or are you just looking ofr a single lab test? You can keep it under your budget by using the organized pillars of health. Here you can access individual test information, select and auto calculate the amount of your custom package. It’s SO EASY!

Popular Panels

Need ideas? You will find packages for the most requested lab tests. Chgoose from the most popular test packages including sex and energy, nutrients & omega 3’s, and weight loss and optimal metabolism modules. To learn more, click on the modules below:

Young & Healthy Basic

Have a high deductible and need some screening blood tests? Not feeling well and want a basic place to start? Looking for a low cost screening option? Our Young and Healthy Basic Module gives you the perfect snapshot of your health.

Sex & Energy

An imbalance of hormones can cause loss of libido, memory problems, loss of skeletal muscle, accumulation of belly fat, fatigue, irritability and mood disturbance, sleeping problems, physical energy and physical endurance problems among others.


Inflammation is now thought to be the root cause of many diseases. Elevated levels in the blood signal an increased risk of stroke and heart attack and there is a growing body of research understanding the link between homocysteine and Alzheimer’s.

Brain Health

Prain Health Panel

Nutrients & Omegas

Nutrients are your body’s key building blocks, and having a varied, well-balanced diet is crucial for maintaining good health and preventing problems from developing. But studies show that while many people in Western countries are overfed (that is, overweight and obese), plenty of us are also undernourished.

Processed foods, depleted soils, lack of sun and exposure to toxins are just some of the reasons our bodies are lacking key nutrients.

And, even if you have an extremely ‘clean’ or healthy diet, chances are there may be some essential nutrients you’re missing – especially as you age. That’s because as we get older, our bodies are less able to make and absorb essential nutrients, even though our nutritional needs are just as high – if not higher – compared to when we were younger.

Our nutrient panel evaluates for key nutrient deficiencies and will provide baseline measurements that clients can use to optimize their individual results.

Weight Loss & Optimal Metabolism

This module measures “belly fat” hormones as well as evaluates the way your body is processing and storing sugar. Physicians use these labs to evaluate for insulin resistance, prediabetes, diabetes and adiposity or “sick fat cells.”

Keto Lab Panel

Tests Included: Triglycerides • Total Cholesterol • HDL Cholesterol • LDL Cholesterol • Cholesterol/HDL Ratio • Non- HDL Cholesterol • Lipoprotein (a) • Apolipoprotein B • LDL Particle Number, Peak Size, Pattern • HDL Large • LDL Small & Medium • Fasting insulin • Fasting glucose • Hemoglobin A1c • Hs-CRP • TSH • Free T4 • Free T3

Testosterone Checkup

Lack of testosterone can cause loss of libido, loss of skeletal muscle, accumulation of belly fat, fatigue, irritability and mood disturbance, physical energy and physical endurance problems among others.

Thyroid Evaluation

Thyroid disease affects more than 20 million people in the US. This module is used to evaluate the function of the thyroid gland. Tested biomarkers include: Thyroid Stimulating Hormone, free T3, free T4 and Thyroid Peroxidase Antibodies.

Healthy Blood Vessels - The Advanced Lipid Panel With Lp(A)

Tested biomarkers include:

Triglycerides, Total Cholesterol, HDL Cholesterol, LDL Cholesterol, Cholesterol/HDL Ratio, Non- HDL Cholesterol, Lipoprotein (a), Apolipoprotein B, LDL Particle Number, Peak Size, Pattern, HDL Large, LDL Small & Medium

Transformational Panel

We are offering a wide array of labs at a tremendous value. This includes all the tests that we perform touching on the 5 pillars of health: inflammation, blood vessel health, metabolism, hormone balance, and nutrient optimization.

Here’s what people who have ordered their tests online have to say:

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Mitch Gaylord

Olympic Gold Medalist

“People have noticed a difference in how I look. They say, ‘Wow, you look like you are losing weight’ or ‘You look healthy!’ Once I had the right testing done, I got the answers I needed. I
now feel confident I can continue to lose more weight. 


Age 53

“I feel really good. I’ve lost 25
pounds now. My energy levels are up and I’m finally getting results for my disciplined lifestyle. My doctor missed my thyroid dysfunction with just a TSH test.  Having the advanced testing done, allowed me to narrow in on my issues, and find the help I needed.”


Age 48

“I feel hopeful now. I have had muscle and joint pain for years. Knowing my thyroid numbers gave me the confidence I needed to ask my physician for help.

I had a clear understanding of what was wrong going into my physician visit and was able to work with my practitioner to move the needle on weight loss.”


Age 55

“I used to work in a hospital laboratory, so I am a big advocate for lab testing. I had the full Transformational Panel done. The amount of tests performed and information gleaned was invaluable.

I used the information to learn what I could do on a holistic level and have a better conversation with my doctor.  I am exercising more consistently and making healthier choices
in my diet, and will retest further down the road to see how my numbers have changed. I already feel better and have more energy.

For anyone who wants to be healthy and nip any future problems in the bud, I highly recommend you do these tests.”

Terri Romera


 Your Lab Work Disclaimer & Disclosure Information:

If you’d like to order your own labs through YourLabWork.com, please use my affiliate link! Using my link costs you nothing. You receive discounted labs in a safe, confidential and convenient way and a small percentage of your purchase goes to support my work here at [business name]. Thank you!!

Please note: I am not a medical doctor and I cannot receive lab results directly from any lab, read or interpret labs, or diagnose or treat any medical condition! But what I can do is share with you Dr. Alan’s optimal functional ranges for labs, guide you to resources to help you understand your labs and help you with any questions you may want to discuss further with your doctor.

Direct discounted blood work and lab testing - no doctor required

The information on this site is for general educational and informational purposes only and is not intended to diagnose, prevent, cure or treat any medical condition. I am not a medical doctor and information presented is not medical advice or intended to
replace a one-on-one relationship with a doctor or health care professional.

You must consult with your health care provider about medical questions, do your own research and make your own health care decisions based upon your own research and judgment in partnership with a qualified health care professional.’

How to Advocate for Yourself with On-line Blood Testing

How to Advocate for Yourself with On-line Blood Testing

Don’t let insurance and Your Health Care Provider be the Reason You Don’t Get Your Bloodwork Evaluated

No one likes to be told what to do, but unfortunately many doctors and health care practitioners don’t realize that that is exactly what is happening on a daily basis – insurance coverage and medical algorithms often determine the tests that a health care provider will order.  

You can request that your family practitioner order a set of lab tests, but it is unfortunately a low likelihood that they will acquiesce to your request.  Why?  Besides the algorithms and insurance restrictions mentioned above, they may not know how to interpret the results.  This puts their license at risk, and no doctor or health care practitioner wants to lose a license that cost them so much time and money to obtain – even if it is for the good of the patient! 

The good news is that there are now direct-to-consumer-labs that don’t require an order from a practitioner.  These labs often negotiate lab fees with national lab companies, and ordering through one of these is actually less cost than paying a lab’s cash fees or paying for labs that insurance denies.  For example, a basic CBC may cost $15 with a direct-to-consumer-lab, but insurance could be “charged” $100 for this and decide whether or not they want to actually pay for it.  If they deny payment, that cost goes to the patient.   

Don’t let insurance and your health care provider be the reason you don’t get your blood work evaluated.

Advocate for yourself, and learn about your health risks before they become health problems.  


If You’d like to order your own labs through YourLabWork.com, please use my affiliate link! Using my link costs you nothing. You receive discounted labs in a safe, confidential and convenient way and a small percentage of your purchase goes to support my work here at [business name]. Thank you!!  

I have a discount code for you to use on your first test: YLW20A (Expires 12/31/2019)

Please note: I am not a medical doctor and I cannot receive lab results directly from any lab, read or interpret labs, or diagnose or treat any medical condition! But what I can do is share with you Dr. Alan’s optimal functional ranges for labs, guide you to resources to help you understand your labs and help you with any questions you may want to discuss further with your doctor.  


Forbes article on the benefits of direct-to-consumer lab testing: https://www.forbes.com/sites/stevedickman/2016/06/16/direct-to-consumer-clinical-lab-testing-wont-kill-us-it-will-make-us-stronger/#d304f1d284f1  

Factors affecting laboratory use and prices: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4191351/

How Can I get My Nutrient Levels Tested?

How Can I get My Nutrient Levels Tested?

Is it worth it to do Nutrient Lab Testing?


John is a former vegetarian, who recently started eating a more vegetable-rich “Paleo” diet.  He’s feeling great, and at his ideal weight, but does have some nagging digestive issues like heartburn and occasional diarrhea, that don’t seem to be going away.  These issues were present when he didn’t eat meat.  He takes over-the-counter supplements to support his body, and isn’t quite sure if they really help all that much.  He was perusing the internet, and “Dr. Google” suggested he could have leaky gut, malabsorption problems, and many other possibilities.  He saw a gastroenterologist about this, who diagnosed him with IBS and suggested he eat more fiber.  He was not pleased with this recommendation, especially because he eats plenty of fiber!  What’s his next step? 

Although “Dr. Google” is the bane of many practitioners’ practices, it is also a source of information that can be beneficial.  John did the right thing in seeing a  gastroenterologist, but unfortunately many specialists prefer to treat diseases not symptoms, and if there isn’t a good pill or procedure for this, they aren’t really sure what to do.  It isn’t the fault of the doctors for not knowing about nutrition or supplements, but luckily there are people in this world who  do have knowledge on this subject.  And these people/practitioners often use lab work to evaluate for nutrient imbalances.  You can skip the practitioner (initially), and get this bloodwork for yourself. 

There are many ways to evaluate nutrient status, but it is a good start to look at what’s in the blood through nutrient biomarkers.

Maybe you’re thinking of taking a vitamin B12 supplement – you can look at your bloodwork to see if you really are in need of this.

Maybe you’re thinking of taking vitamin D, or maybe you do take vitamin D – this in particular is important to look whether you are taking a supplement or not.  If your vitamin D levels are too low or too high, this can cause problems.  Check this every 6-12 months when taking a supplement (to make sure it’s the right dose). 

There are many nutrients that can be tested.   

Before buying that next expensive supplement, make sure you actually need it!  And if you correct your nutrient imbalances, and you’re still have bothersome symptoms, seek the care and evaluation of a good integrative/functional medicine provider.  


If you’d like to order your own labs through YourLabWork.com, please use my affiliate link! Using my link costs you nothing. You receive discounted labs in a safe, confidential and convenient way and a small percentage of your purchase goes to support my work here at [business name]. Thank you!!

Please note: I am not a medical doctor and I cannot receive lab results directly from any lab, read or interpret labs, or diagnose or treat any medical condition! But what I can do is share with you Dr. Alan’s optimal functional ranges for labs, guide you to resources to help you understand your labs and help you with any questions you may want to discuss further with your doctor.


Connection between inflammation and low vitaminD: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4160567/

Best levels of vitamin D: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5541280/?_ga=2.67143127.750667243.1515071227-1387819590.1509682613 

Laboratory testing for B12 deficiency: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3573090/ 

Redefining B12 deficiency: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2796.2011.02485.x

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