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Also to be considered are the benefits of adopting a fresh approach under a new head coach to ensure the deficiencies that have contributed to such a poor campaign are not repeated.

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.