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The improvement of the electric shock-like sensations with gabapentin 300 mg daily reinforces the neuropathic nature of her symptoms, which aligns with both vitamin B12 deficiency and fibromyalgia as underlying causes [35]

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To view or add a comment, sign in New Multisociety Position Statement: Timing of Corticosteroid Injections and Vaccination Corticosteroid injections (CSIs) are a cornerstone of chronic pain management from peripheral nerve blocks and trigger point injections to epidural, facet, sacroiliac, and large joint injections

Regulation of plasma histamine levels by the mast cell clock and its modulation by stress

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