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It has progressed from the tips of my toes and tips of my fingers at proportionally the same rate up past my elbows and knees

The muscle is located in the upper outer quadrant of the buttock, approximately 5-8cm below the iliac crest

Supports neurological function

The role of NNMT in gluconeogenesis was further elucidated by Hong et al

Recommended investigations include: Full blood count with blood film examination Serum vitamin B12 level Serum folate (to exclude combined deficiency) Intrinsic factor antibodies Thyroid function tests (autoimmune association) Consider MMA and homocysteine if diagnosis uncertain and available Neurological examination should be performed in all patients, assessing for peripheral neuropathy, proprioception loss, and signs of subacute combined degeneration of the spinal cord