Test for vitamin B1 deficiency (Dr. Ertog)

10

Weakness in the legs

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

9

Soreness of the calf muscles

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

8

It's hard to get up from a squatting position.

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

7

Reduced sensitivity of the toes

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

6

Drop foot (inability to lift the foot)

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

5

Disorientation

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

4

Loss of vision

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

3

Double vision, diplopia (double vision of objects)

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

2

Abnormal eye movements (including involuntary eye twitches)

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

1

Poor eye coordination (ataxia)

No/never A little/rarely Moderately/sometimes Significantly/often Very much/always

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