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44-46 These findings have the following implications: patients with definitive DCM and concomitant B 12 deficiency require treatment for both conditions to optimize neurological recovery, but care should be taken for patients with mild cord compression and possible B 12 deficiency prior to surgical treatment, as cord compression may be a false positive finding and treatment with B 12 may resolve symptoms

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In plain English, this means it mimics two different hormones naturally produced by your body

Needle withdrawal: Withdraw the needle gently
