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Therefore, regardless of the presence of neurological symptoms, SCD should be suspected in patients with skin hyperpigmentation, as the neurological manifestations can be a late finding [2]

Nitrous oxide misuse can cause vitamin B12 deficiency and absorption issues, which can lead to nerve damage, paralysis, chronic numbness, and loss of coordination

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Pacing Activities On your good days, pushing yourself too hard can lead to "crashing" for the next few days, known as the "push-crash cycle." Learning to pace your activities may help you avoid this cycle
