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When patients develop severe nerve damage, such as peripheral neuropathy or a serious spinal cord condition called subacute combined degeneration, swallowing over-the-counter vitamin pills is often not enough

That said, everyone's experience is unique

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Core strengthening, proper lifting mechanics, maintaining healthy body weight, staying active, and avoiding prolonged sitting all reduce the risk of recurrence

But I want to sleep well at night. In February, I flew to Charleston and met with Koniver in a modern red brick building that houses his clinic

So, if you are struggling to manage in that third month please point your GP towards the new guidance in the BNF