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At most medical centers, the initial surgery tries to get as many muscles reinnervated as possible

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Certain medications Certain pharmaceutical compounds can affect vitamin B12 status by interfering with its absorption

After one-third of the study participants have been enrolled and completed follow-up, the DSMBs will review the data and make recommendations concerning continuation, modification or termination of the study due to unexpectedly large beneficial effects or serious side effects and can suggest extension of the trial should the primary outcomes occur less often than anticipated

Participants consented to the study but did not consent to the public sharing of their data

The follow-up period varied widely between 6 and 12 months after injection making it hard to know when and how recovery occurred