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Neurological manifestations are among the most concerning signs: Paraesthesia (pins and needles) in hands and feet Numbness or altered sensation in extremities Difficulty with balance or coordination Memory problems or difficulty concentrating Mood changes, including depression or irritability Visual disturbances in rare cases These symptoms may be particularly difficult to distinguish from diabetic neuropathy, making objective assessment through blood testing essential rather than relying solely on clinical presentation

10.3390/ijms140612780 40 ChanD

Inflammation in bipolar depression Cytokines and other inflammatory markers suppress mitochondrial energy generation

Although rare, G6PD deficiency should be considered as a cause of any chronic nonspherocytic hemolytic anemia across all population groups

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His HbA1c was back in the normal range