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Polyneuropathy typically presents gradually, beginning with paresthesia known as burning feet, followed by gait disturbances and variable muscle weakness in the lower limbs ( In the CNS, thiamine deficiency can lead to Wernickes encephalopathy, characterized by nystagmus, ophthalmoplegia, mental status changes, and unsteady stance and gait, due to apoptotic cell death in sensitive brain areas, mainly areas with high metabolic requirement, causing symmetrically distributed lesions among structures such as the third and fourth ventricles, besides dorsomedial thalamus (42)

But heres the truth: Pills are often destroyed in the stomach or filtered by the liver

Struggling with low energy, slow metabolism, or stubborn fat

American Journal of Kidney Diseases 48 , 761771, doi: 10.1053/j.ajkd.2006.08.019 (2006)

Feier CVI, Faur AM, Muntean C, et al

Lower doses of tirzepatide may not trigger the intended metabolic or glucose-lowering effects