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Assess factors contributing to the patients perception of pain (e.g., sleep disturbances, stress, physical activity, nutritional intake, and co-occurring medical disorders) (1)(2)

Vitamin B12 is needed for red blood cell formation and maturation, normal functioning of the brain and nervous system, and it restores critical DNA synthesis and activity in every cell

Another type of MMA that does not respond to vitamin B12 treatment is called Mut . People with the Mut type of MMA have too little of the MCM enzyme

Sterile water also finds applications in areas where sensitive tissues are involved, i.e., mucous membranes or internal cavities, as benzyl alcohol can cause irritation or other side effects

Performing exercises into the next day is also suggested if soreness continues

Medical advice is important if pain is severe, keeps getting worse, or makes it hard to move the limb normally