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Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia

During the first month the amount of milk rapidly increases, reaching on average 700 ml (3 cups) at the end of the first month

While this primarily impacts private insurance, it signifies a legislative intent towards broader access to menopause care, which could influence or align with Medicaids interpretation of medical necessity and formulary inclusions

Folate (vitamin B9) sits at the centre of this process

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