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Long-term use can also cause a deficiency of vitamin B-12, which leads to reduced white blood cell count and anemia.

The judge did say, however, there were "significant deficiencies" in Unite's "investigation and disciplinary processes".

That reduced appetite, if not overseen properly by a doctor, could cause nutritional deficiencies and leave people with less energy for workouts, says Dr. Martha Gulati, director of preventive cardiology at Cedars-Sinai Medical Center.

Nato's bombing campaign over Libya in 2011 also highlighted deficiencies - with European nations supposedly taking the lead, but still dependent on US support.

If immigration officials identify an employee as potentially lacking proper work authorization, or having deficiencies in their documentation, businesses will be notified and must provide the employee a copy of the findings within 72 hours.