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Seek medical advice within 24–48 hours if you experience: New or worsening numbness affecting the hands, feet, or other body areas Progressive symptoms that spread or intensify over days or weeks Accompanying weakness in the affected limbs or difficulty with fine motor tasks Pain or burning sensations alongside numbness Balance problems or difficulty walking that may indicate more extensive nerve involvement Symptoms affecting both sides of the body symmetrically, particularly in a "glove and stocking" distribution Any foot problems including ulcers, infections, or changes in colour/temperature with numbness Seek urgent medical attention if numbness is accompanied by: Sudden onset affecting one side of the body – call 999 or go to A&E immediately (potential stroke warning) Facial drooping, speech difficulties, or visual changes – call 999 (use the FAST test: Face, Arms, Speech, Time) Chest pain, severe headache, or confusion – call 999 or go to A&E Loss of bladder or bowel control (potential spinal cord involvement) – go to A&E Severe weakness or inability to move affected limbs – go to A&E Foot ulceration, infection or ischaemia with neuropathy – seek same-day assessment from your GP or multidisciplinary foot care service For non-urgent but persistent symptoms , arrange a routine GP appointment for comprehensive assessment

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