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Common symptoms can include : Tingling / numbness in hands/feet Tiredness, exhaustion, significant fatigue Brain fog, impaired thinking and memory Flaking nails, dry skin Shortness of breath Dizziness, difficulty with co-ordination, vertigo Fluctuating weight, gastrointestinal symptoms/poor digestion Irritability, problematic sleep, depression, low libido, mood swings Diagnosing Pernicious Anaemia Due to often slow-growing, generalised symptoms, PA is often overlooked and many can be without treatment for years

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Maintain 7 to 9 hours of uninterrupted sleep per night to support growth hormone release and cellular repair

Current systemic therapies, including isoniazid, rifampicin, pyrazinamide, and ethambutol, are often inadequate in achieving therapeutic intraocular concentrations and may pose ocular toxicity risks

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