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Initial clinical assessment should include a thorough neurological examination documenting: Sensory testing for vibration sense (using a 128 Hz tuning fork) and proprioception Assessment of gait and coordination (Romberg's test) Evaluation of reflexes and muscle tone Cognitive screening if indicated Fundoscopy if visual symptoms are present History of nitrous oxide exposure (recreational or occupational) Laboratory investigations recommended in UK practice include: Serum B12 level whilst the standard first-line test, interpretation requires caution

Once opened, consume within 6 months

Most people describe the feeling as a tiny, brief pinch

To verify a lot number or request the matching Certificate of Analysis, contact [email protected] with the lot number and we will return the CoA for that lot usually within one business day

Her legs are bigger than mine too The thing to remember is that she is not you