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Neurological manifestations are particularly concerning and may include peripheral neuropathy with paresthesias (tingling and numbness in hands and feet), ataxia, impaired proprioception and vibratory sense, cognitive impairment, memory loss, and in severe cases, subacute combined degeneration of the spinal cord

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The medication should not be disposed of in household trash or flushed down toilets or drains, as this can lead to environmental contamination and potential exposure of others to the medication

The most widespread indicators include unexplained muscle weakness, a constantly sore or swollen tongue, chronic brain fog, tingling sensations or pins and needles in your hands and feet, persistent mood shifts, and a pale or yellowish skin tint