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.
Drinking alcohol can thus cause a thiamine (B1) deficiency. Alcohol also significantly impairs the body's ability to absorb more vitamin B1 and interferes with its necessary chemical reactions in the body. Thiamine deficiency can cause a painful neuropathy of the extremities, it is nerve damage. Some researchers believe that alcohol consumption may, in itself, contribute directly to nerve damage. Alcohol is attracted to the membranes of the nerve cells. This membrane is called the myelin sheath. The myelin sheath surrounds each nerve cell. The alcohol thus affects their function. When a sensory nerve is damaged in this way, you get the tingling, pain and numbness. When a motor nerve is damaged, it impairs the bodies motor functions. This disorder is termed alcohol induced neuropathy.