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Dysautonomia may give rise to symptoms like POTS or PEM and may explain a large number of symptoms of PAIS such as hyperventilation, digestive, cutaneous and vascular, perpipheral neurological symptoms

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ADVANCE Collaborative Group, Patel A, MacMahon S et al (2008) Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes

However, other factors can contribute to or cause neuropathy, including vitamin deficiencies (particularly B vitamins), alcohol use, certain medications, autoimmune conditions, infections, and inherited disorders