Different individuals have different triggers, which may include nutritional deficiencies, local trauma, stress, hormonal influences, allergies, genetic predisposition or other factors.
The challenge is to identify the major causes, which can include deficiencies in organisational processes which may have been present well before the accident itself.
The aetiology of RPL is probably multi-factorial and may include nutritional and micronutrient deficiencies.
These defects may include mental retardation, growth deficiencies, central nervous system dysfunction, craniofacial abnormalities, and behavioral maladjustments (for an enumeration, see, among others, [ 3], and ).
Other symptoms of this deficiency may include enlarged breasts, loss of body or facial hair, and osteoporosis before age 65.
But the less dramatic symptoms of a B12 deficiency may include muscle weakness, fatigue, shakiness, unsteady gait, incontinence, low blood pressure, depression and other mood disorders, and cognitive problems like poor memory.
Symptoms of zinc deficiency may include skin lesions, diarrhea, increased susceptibility to infections, night blindness, reduced taste and smell acuity, poor appetite, hair loss, slow wound healing, low sperm count, and impotence.
Although clinical features of hypocalcemia are often non-specific and may go undetected in milder forms, signs and symptoms of deficiency may include tetany, muscle weakness, parasthesias, adverse cardiovascular effects, bronchospasm, and confusion.
Other symptoms of mild/early-onset deficiency may include chronically dry or "un-wettable" eyes, with rough or "bubbled" surface features on the eye, though these symptoms alone are not enough to diagnose a vitamin deficiency.
Signs of a vitamin C deficiency, also known as scurvy, may include bruising easily, slow-healing wounds, frequent infections and joint pain and swelling.
