Peripheral neuropath: Peripheral neuropathy is a common cause organise pins and needles symptoms. Causes include vitamin B12 deficiency, diabetes, toxic effects including side effects for certain medications. A neurologist is best to evaluate you and appropriate testing will be done.
Answered 7/20/2020
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Guesswork: Can't diagnose without in depth history, medication/supplements review, physical examination, possible imaging, possible lab tests. Considering your reported symptoms it may be wise to consult with a specialist Rheumatologist. There are, by the way, specific diagnostic tests for MS and Lupus.
Answered 7/25/2020
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