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Without a strong myelin sheath, nerves are exposed and become damaged, which may even lead to nerve cell death
Symptoms can include unexplained fatigue, pins and needles or numbness, balance or memory problems, vision changes, muscle weakness or a sore, red tongue
The deltoid muscle is often used for smaller volumes, while the gluteal muscle can accommodate larger volumes
Face-to-face clinics have largely been replaced by remote consultations (via telephone or video call), with reduced capacity for endoscopic investigations and elective surgeries
It means clinicians and patients must make decisions under uncertainty
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