Quora User, worked at Earth. 1  Businesses in the US (or any other country, for that matter) must charge VAT when selling e-services to European consumers. Many US companies (especially the larger ones) do comply with this policy, and charge VAT to EU residents, even if they do not have a physical presence within the EU. List of VAT Rates.
See MD: Hand numbness likely is due to pressure on the nerve either from damage, inflammation or direct pressure. Throat sensation can be topical in nature - not likely lemon water, but excess acid could irritate it. This may also be nerve related. So, get to the MD and find out what is going on.
A lack of B12 can lead to pernicious anaemia, an important cause of peripheral neuropathy. However, too much B6 can also cause tingling in the hands and feet. Alcoholism. Alcoholics are more likely to have vitamin deficiencies because of poor dietary habits. Itâs also possible that alcoholism can cause nerve damage.