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Discussion In the three clinical cases, precise ultrasound-guided perineural vitamin B12 injection appeared to be effective and beneficial for recovery from BPI, with sufficient neurological improvement observed and no apparent adverse effects

Key lab tests include: IGF-1: The primary marker used to assess the pituitary gland's response to sermorelin and guide dose adjustments

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Adequate levels of B12 can promote the health and appearance of these features, contributing to overall vitality

doi: 10.1016/j.neuroscience.2018.11.010