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The condition most commonly affects the nerve between the third and fourth toes, though it can occur between other toes, as well

Physical complaints Fatigue, muscle weakness Tingling or numbness in hands and feet Muscle cramps Balance problems or shaky walking Mental complaints Forgetfulness or concentration problems Feelings of gloom or depression Anxiety or irritability Confusion Other signals Headache or dizziness Anemia 'Fog' in your head or feeling of alienation Feeling of not being yourself Note that neurological symptoms can occur without any abnormalities being visible in your blood count

Decreases appetite and reduces cravings Promotes weight loss 2-4 Lowers A1C levels (a marker of blood sugar control) Improves cardiometabolic health measures Enhances insulin sensitivity 1-3 The medication is not insulin

Have a veterinarian show you how to give the injection and if possible, have them observe you giving your first injection