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Sensory symptoms are often the earliest manifestations and may include: Tingling or 'pins and needles' sensations (paraesthesia), typically beginning in the feet or hands Numbness or reduced ability to feel temperature, pain, or touch Burning sensations or shooting pains, particularly in the extremities Increased sensitivity to touch (hyperaesthesia) or pain from normally non-painful stimuli (allodynia) Loss of balance or coordination due to reduced proprioception (awareness of limb position) Motor symptoms may develop if neuropathy affects motor nerves, including muscle weakness, difficulty with fine motor tasks (such as buttoning clothes), foot drop, or muscle cramps and twitching

Managing Skin Sensitivity During Your Program If you are experiencing skin tenderness, the first step is to recognize that you are not alone and that this is a recognized, albeit less common, side effect

We expect that any gains that they had in disease resolution, all that will go away too, he said

Theyre not improving the quality of the food theyre eating, Allen said

Updated 2026-05-25