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The absence of clinical guidelines leaves surgeons navigating an evidence gap with potential medicolegal implications, particularly when patients undergo elective procedures where the acceptable tolerance for unmeasured risk is low

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Likewise in oral supplements such as tablets and capsules, cyanocobalamin is still the most used active ingredient

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Whether through surgical intervention, conservative care, or a combination of approaches, our focus is always on helping patients restore function, ease discomfort, and improve quality of life.