Hi Annie,

Sorry I didn't respond sooner. This has happened to me and my neuro commented that she focused on the symmetry of the reflex response as much as - if not more so - than the quality of the response. Anyway, when my left patellar responded adequately - and my right didn't respond AT ALL (after many attempts even), she went back to my chart. The comment was:

Well, you don't have pernicious anemia...and your blood work shows no indication of thyroid issues....so we're going to attribute this to PN. And with that we talked again about the importance of (one of your favorites)....sublingual B12!!