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Symptoms(1-5) Yes No
Pins-and-needles (paraesthesia) of hands and feet?

Numbness of hands and feet?

Weakness of hands and feet?

Abnormal gait (walking)?

Forgetfulness?

Behaviourial changes or mood disturbance (e.g irritability)?

Paleness, fatigue and/or weakness (associated with anaemia)?

This information is not intended to replace the advice of your healthcare professional. Symptoms may be related to another medical condition

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*Symptoms may be related to another medical condition. For more information, please speak to your doctor or pharmacist.