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Neurological examination showed decreased joint position and vibration in both lower limbs, absent ankle jerk with sensory ataxic gait and Rombergs test positive

When to seek medical attention Seek immediate medical care for: Any signs of severe allergic reaction Fever with injection site infection signs Chest pain or significant cardiovascular symptoms Severe or persistent neurological symptoms Any symptom that feels like a medical emergency Seek prompt (but not emergency) medical attention for: Symptoms that persist beyond two weeks without improvement Symptoms that progressively worsen rather than improve New symptoms that appear after initial adjustment period Any symptom that significantly impairs daily function Do not let concern about discussing peptide use prevent you from seeking appropriate care