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Hi thank you for your message, please note that I will look to provide an accurate but nevertheless speedy reply to your inquiry. I am sorry to hear about your situation but I will endeavour to help you today.
You can go to court and plead mitigation as to why you should not lose your licence though pleading an unreported medical condition that affects your driving will not help. You would not however be in a position to argue against conviction. I trust this assists
I am afraid the speed limit is 40 therefore, 46 mph is above the speed limit. I trust this assists