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Symptoms vary widely between individuals

The earliest symptoms of MS may include: Muscular weakness in one or more limbs Tingling or numbness Loss of balance Vision problems or eye pain Slurred speech As the disease advances, symptoms worsen, including: Chronic fatigue, despite getting plenty of rest and not overexerting yourself Hypersensitivity to heat, such as hot showers or baths Muscular spasms in the legs and arms Bladder or bowel control problems Lightheadedness, or vertigo caused by nerve damage Cognitive impairment- brain fog, slowed thinking, lack of concentration, or memory loss Vision problems- blurring or graying of vision, or temporary blindness in one eye Painful pins and needles sensations, numbness, itching, or burning Speech and swallowing problems caused by damaged nerves Seizures Difficulty walking without stumbling, caused by muscle weakness, spasticity, or loss of balance from vertigo Paralysis What are the symptoms of vitamin B12 deficiency

The increase was even greater for specific products

The refuge consists of wetlands, sagebrush and riparian lands, as well as sand dunes, forested areas and several thousand acres of irrigated land