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The expense ratio paid by an investor is the net expense ratio (the total annual fund operating expenses after fee waivers) as stated in the prospectus

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Some of the symptoms that are commonly associated with a deficiency are: Persistent pain, sensation of pins and needles, numbness Mouth ulcers, glossitis, sore tongue or burning mouth Mood and behaviour for example low mood and poor concentration Fatigue As you can see some of the symptoms here are very common to many issues

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doi: 10.1186/ar3002