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He first developed painful bilateral toe tingling and numbness one year prior to presentation, with symptoms gradually ascending to his shins in a symmetric fashion
10.1523/jneurosci.1756-17.2018 J
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B12 deficiencies can be asymptomatic but eventually lead to overall weakness, lightheadedness, the feeling of pins and needles, heart palpitations, vision changes, and more
[PubMed] [Google Scholar] 15.Masnec S., Kokot A., Zlatar M., Kalauz M., Kunjko K., Radic B., Klicek R., Drmic D., Lazic R., Brcic L., et al
