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Neurological manifestations are among the most concerning signs: Paraesthesia (pins and needles) in hands and feet Numbness or altered sensation in extremities Difficulty with balance or coordination Memory problems or difficulty concentrating Mood changes, including depression or irritability Visual disturbances in rare cases These symptoms may be particularly difficult to distinguish from diabetic neuropathy, making objective assessment through blood testing essential rather than relying solely on clinical presentation

Label Everything: This seems obvious, but its amazing how often it's overlooked in a busy lab

After 2 weeks the patient was able to perform 80 flexion of the right knee and 60 of the left

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