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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

Thomas Hospital, London, UK

Self-pay customers of LillyDirect, the drugmaker Eli Lillys online GLP-1 platform, can now choose to pick up discounted vials of Zepbound (tirzepatide) in person at a Walmart pharmacy rather than opting for free home delivery