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Neurological manifestations are particularly concerning and may include peripheral neuropathy with paresthesias (tingling and numbness in hands and feet), ataxia, impaired proprioception and vibratory sense, cognitive impairment, memory loss, and in severe cases, subacute combined degeneration of the spinal cord

Managing side effects effectively Gastrointestinal side effects are common, but a strategic diet can offer significant relief

WMD = 2.30 kg, 95% CI 0.53 to 4.07, P = 0.01, 2 = 0.0%

and thereafter, administer two tablets twice daily

Your stomach requires massive amounts of water to liquify solid food and move it efficiently through the narrow lower digestive valves