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order azathioprine Thanks for your query. You must be exceptionally fit from that daily 20 mile cycle ride but the distribution of the ‘warm to hot’ sensation you describe in your foot is suggestive of pressure on the L5/S1 nerve root at the base of the spine. If so, it might be alleviated by appropriate exercises or manipulation by an osteopath. A further possibility would be that this is a Sensory Neuropathy which is likely to be age related but can sometimes be the presenting symptom of diabetes.
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