The clinical picture is very variable, depending on the site of occurrence and the degree of involvement of the upper and lower motor neurons (Luna et al
As in this group of patients B12 symptomology often is not recognized and the effect of oral supplementation regularly is insufficient (as a result of the destruction of intrinsic factor production, among other things), a large number of them suffer from B12 deficiency
waking Brain fog, word-finding trouble, or memory slips Irregular, heavier, or skipped periods New weight gain around the middle despite no change in habits Joint aches, hip pain, or morning stiffness Vaginal dryness, discomfort, or pain with intimacy Low desire or change in sexual response New anxiety, irritability, or mood swings Hair thinning or drier skin Fatigue that rest doesn't fix Recurrent urinary infections or new leakage One part of menopause that is often overlooked is cortisol, the body's main stress hormone
Personal Consultation Before starting their treatment, each patient is asked to attend a personal consultation at our Berkeley office