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Thus, neuroinvasion by SARS-CoV-2 is possible, providing activation of reactive astrogliosis, triggering increased production and secretion of cytokines and other pro-inflammatory factors, and perpetuating neuroinflammation (Daniels et al

Vitamin B12 tablets, also known as cyanocobalamin, can be bought over the counter from pharmacies or health stores, but are not as effective as the injection

Consequently, clinical decision-making remains uncertain: a lack of confirmatory tests exposes some patients to unnecessary surgical risk, while over-reliance on HVLP likely leads to missed therapeutic opportunities for others

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