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2014;28(2):24857 van den Berg E, Engberink MF, Brink EJ, van Baak MA, Joosten MM, Gans RO,

Compression/entrapment: Mechanical focal demyelination then axon loss at anatomical tunnels (carpal tunnel, cubital tunnel, tarsal tunnel, fibular head)

This condition can negatively impact memory, understanding and judgement
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10.1111/jocn.12824 [DOI] [PubMed] 46.Una Hopkins, RN, FNP-BC D et al (2013) Large-volume IM injections: a review of best practices

Moreover, some patients may interrupt their treatment once symptoms improve, not realising the long-term necessity of ongoing supplementation to prevent recurrence of deficiency symptoms
