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49 Other symptoms related to cobalamin deficiency are elevated lactic dehydrogenase levels, mechanical hemolysis, thrombocytopenia, intravascular coagulation thrombosis, low reticulocyte count, vasoconstriction, and renal and pulmonary vasculopathy

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Rats were assessed for fine motoric impairment with modified Irvine, Beatties and Bresnahan forelimb scale (IBB scale) that can detect recovery of both proximal and distal forelimb function including digit movements during a naturally occurring behavior that does not require extensive training or deprivation to enhance motivation (64)

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In our diabetic population, we also focus intensively on foot protection: appropriate diabetic footwear, regular monofilament testing, and patient education to prevent the ulcers and infections that a numb, burning foot is susceptible to