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Additionally, paraxanthine may boost cognitive function across age groups by increasing BDNF levels

For chronic hives that do not respond to standard doses, a physician may add an H2 antihistamine (such as famotidine) or prescribe omalizumab (Xolair), a biologic injection with strong results in chronic spontaneous urticaria

[6] [7] Common neurological presentations include: Peripheral neuropathy tingling, numbness, or pins-and-needles sensations (paraesthesia), typically beginning in the feet and hands in a symmetrical 'glove and stocking' distribution Gait disturbances unsteadiness, difficulty walking, or loss of balance due to proprioceptive impairment Cognitive changes memory problems, confusion, difficulty concentrating, or 'brain fog' Mood alterations depression, irritability, or personality changes Weakness muscle weakness or fatigue affecting daily activities Visual disturbances rarely, optic neuropathy causing blurred or reduced vision In more severe cases, patients may develop subacute combined degeneration of the spinal cord , a serious condition affecting the posterior and lateral columns