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The most dependable approach remains a specialized neurological examination (Tanner and Goldman 1996)
Significant biomechanical improvement
This will be discussed further in the following sections [6]
Systemic side effects are rare but include transient nausea (510% of patients, typically within the first hour post-injection) and allergic reactions to methylcobalamin or preservatives in compounded formulations
Shekther et al
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