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A previous study suggested that sphingolipid lactosylceramide boosted inflammation and neurodegeneration in an EAE model (56)

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The MAS TLIF approach splits the back muscles rather than cutting them, which reduces blood loss, postoperative pain, scarring, and recovery time compared with traditional fusion

It says that children with neurological involvement (meaning neuro symptoms) should have a b12 injection every other day until improvement stops then every 2 months The above might be a good one to show GP