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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

[PubMed] [Google Scholar] 198.Pohle T., Brzozowski T., Becker J.C., Van der Voort I.R., Markmann A., Konturek S.J., Moniczewski A., Domschke W., Konturek J.W

But when you take it, along with the lifestyle adjustments you make, can play a role in how it works

[DOI] [PubMed] [Google Scholar] 16.Sikiric P, Separovic J, Anic T, Buljat G, Mikus D, Seiwerth S, Grabarevic Z, Stancic-Rokotov D, Pigac B, Hanzevacki M, et al