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This may include reviewing all your medications, as some drugs can affect cognitive function, and checking for conditions that commonly impact memory such as: Hypoglycaemia : Your GP may review your blood glucose monitoring records and adjust diabetes medications if needed Vitamin deficiencies : Particularly B12, which should be checked in patients on long-term metformin who develop cognitive symptoms [25] [26] Thyroid dysfunction : Both hypothyroidism and hyperthyroidism can cause cognitive symptoms Depression or anxiety : Mental health conditions frequently affect concentration and memory Sleep disorders : Poor sleep quality significantly impacts cognitive performance Seek urgent medical attention (call 999 or go to A&E) if memory problems are accompanied by: Severe, persistent abdominal pain (possible pancreatitis) Signs of severe hypoglycaemia (confusion, loss of consciousness, seizures) Sudden severe headache, vision changes, or weakness on one side of the body Difficulty breathing or swallowing For urgent but non-life-threatening concerns, you can contact NHS 111 for advice