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Alcohol also affects your motor cortex , reducing your ability to react quickly to changes in your environment

It most often affects the lower back (lumbar spinal stenosis) and the neck (cervical spinal stenosis), and it is one of the most common reasons adults over 50 experience leg pain, back pain, weakness, or trouble walking

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What that means isnt always straightforward: In the Swiss study mentioned above, nearly three-quarters of primary-care docs surveyed reported using a multi-step approach (and not always the same one) when testing for B12 deficiencya practice that Miller says improves the odds of an accurate diagnosis since serum B12 levels alone dont always accurately identify a deficiency