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Quality of Living Factors: Change in Unemployment Rate (August 2024 to August 2025) Percent of Commutes Under 25 Minutes (2024) Median Home Appreciation (October 2022 to October 2025) Entertainment and Food Venues Per 10,000 People (2023) Reported Violent Crime Per Capita (2024) Reported Property Crime Per Capita (2024) Quality of living factors were normalized and weighted into a composite QOL Index

Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia

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