Hyperinsulinaemia in cancer
One of Hendersons patients described it this way: I woke up, and it seemed like I had on my glasses, and there was a smudge over the bottom half of the lens, but it didnt go away. Thats the most common pattern (called inferior altitudinal vision loss), but its not the only one
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Unfortunately, many never receive a root cause diagnosis for various reasons including the poor quality of tests for pernicious anemia, the incompetence and/or disinterest of many doctors in looking for a cause for the deficiency etc