When thiamin levels fall too low, brain cells cannot produce enough energy to function properly, which can lead to the brain disorder Wernicke-Korsakoff syndrome. The syndrome is the combination of two conditions: Wernicke encephalopathy and Korsakoff syndrome. Wernicke encephalopathy causes damage to the lower parts of the brain — the thalamus and the hypothalamus — and can be fatal if not treated. As its symptoms start to fade, Korsakoff syndrome, a chronic, short-term memory disorder, develops.

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