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[7] [4] Neurological symptoms can occur even before anaemia develops and include paraesthesia (pins and needles) in the hands and feet, numbness, difficulty walking, and balance problems due to subacute combined degeneration of the spinal cord
Other tests are possible, but not usually offered, to indicate a diagnosis of PA: a
Injections of B6 may also be given to patients with impaired gastrointestinal absorption
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