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Fish tapeworm also leads to B12 malabsorption because the tapeworms consume B12 for their own needs, so serum B12 concentrations fall

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

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Unlike Route 2-A, this route does not cover some of the higher areas of the citadel, which makes it a little less extensive but equally fascinating