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First Week: Initial Response Some users notice subtle changes within the first three to seven days

The right next step depends on the reader's evidence, safety, cost, access, and provider-review needs

Common neurological manifestations include: Paraesthesia (pins and needles) in the hands and feet Numbness and altered sensation Difficulty with balance and coordination (ataxia) Memory problems and cognitive impairment Mood changes, including depression and irritability In severe cases, visual disturbances and confusion These neurological features arise from demyelination of peripheral nerves and the spinal cord, a condition known as subacute combined degeneration when it affects the posterior and lateral columns of the spinal cord

Understanding this helps you decide when its actually safe to drive or function normally