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Discuss with provider if on metabolic medications

Our physicians provide free in-person consultations where we educate the patient about whats possible, whats safe, and what their options are

[149] Derived from Table 2 available on [150] History [edit] Between 1849 and 1887, Thomas Addison described a case of pernicious anemia, William Osler and William Gardner first described a case of neuropathy, Hayem described large red cells in the peripheral blood in this condition, which he called "giant blood corpuscles" (now called macrocytes), Paul Ehrlich identified megaloblasts in the bone marrow, and Ludwig Lichtheim described a case of myelopathy

Additionally, certain medication can cause muscle spasms, such as diuretics and estrogen, so discuss this with you doctor if it becomes an issue