Dehydration can significantly contribute to fatigue and is often overlooked
Now, in itself this can be seen as bad practice and neglect of patient care, but we think it exposes another aspect of Pernicious Anaemia how it is perceived by many people, including medical professionals

Recognizing Cervical Radiculopathy Symptoms The symptoms of cervical radiculopathy can vary depending on which nerve root is affected, but common signs include: Pain Patterns: Sharp, burning pain that radiates from the neck into the shoulder and arm Pain that worsens with certain neck movements Aching sensation that may be constant or intermittent Pain that intensifies when coughing, sneezing, or straining Neurological Symptoms: Numbness and tingling in specific areas of the arm and hand Weakness in the arm, hand, or fingers Loss of reflexes Difficulty with fine motor tasks like writing or buttoning clothes Location-Specific Symptoms by Nerve Root: C5 nerve root : Shoulder and upper arm pain, deltoid weakness C6 nerve root : Thumb-side pain extending to the forearm, bicep weakness C7 nerve root : Middle finger numbness, tricep weakness C8 nerve root : Pinky-side numbness, hand grip weakness Can Cervical Radiculopathy Cause Foot Numbness
PMC 3064746
[1] According to the manufacturer, caution should be exercised when thiamine is administered during breastfeeding
The 21-28 day recommendation accounts for this additional degradation pathway