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The first four regions and the Hisui region are based on smaller regions in Japan, Unova and Alola are based on parts of the United States, Kalos is based on France, Galar is based on the United Kingdom, and Paldea is based on the Iberian Peninsula, consisting in the countries of Spain, Portugal and Andorra.


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In the Iowa Administrative Code , rule citations appear as follows: Agency—Chapterrule(implementation) For explanation of rule citations and rule subparts, see


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Also known as Raynaud’s phenomenon or syndrome, this generally harmless condition causes what is called vasospasm in which small arteries that supply blood to the skin narrow. This can occur in response to exposure to cold or heightened stress. The reduction of circulation to affected areas can produce a change in skin color, the sensation of intense cold and prickling of the skin as it warms or as the stress is reduced. Raynaud’s phenomenon can exist independently or may be the symptom of another health condition.

In anemia, the body doesn’t have enough red blood cells to supply the tissues and organs with oxygen. Anemia can be caused by a wide variety of illnesses, and it may be minor or severe and temporary or ongoing. Your doctor can test for anemia and, if it is present, work with you to resolve the root cause.

Hypotension, or low blood pressure, can result from a number of medical conditions. If your blood pressure gets too low, your body directs blood away from your extremities and toward the critical organs in your core. This can leave hands and feet feeling cold.

Frostbite is an injury caused by freezing of the skin and the tissue below it. It is most common on fingers, toes, ears, nose, cheeks and chin. Frostbite should be treated by a medical professional promptly if it occurs. However, even after successful treatment, it can leave you with permanently heightened sensitivity to cold.

Autoimmune diseases such as lupus and scleroderma can affect sensitivity to cold. Lupus causes the body’s immune system attacks its own tissues and organs. One of its many symptoms is Raynaud’s phenomenon. Scleroderma is a rare disease that involves the hardening and tightening of skin and connective tissue. It produces a number of symptoms, one of which is exaggerated sensitivity to cold temperatures.

The first step in addressing perpetually cold hands and feet is to talk with your doctor to identify and treat the underlying cause. Beyond that, you can decrease your discomfort by:

Cold hands and feet, even if they aren’t the result of a serious condition, can impact your quality of life. So, take action to help keep them warm and toasty!

So, take action to help keep them warm and toasty and find a Baptist Health provider to discuss the underlying cause.


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  • Open the SMART Ink floating toolbar (see Opening the SMART Ink floating toolbar).
  • Press Pen Options .
  • Press Highlighter. and, optionally, select a highlighter color.
  • Highlight content.

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