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Realistic expectations might be the most important factor of all

(Reporting by Sriparna Roy, Sneha S K in Bengaluru, Amina Niasse in New York

Other treatments, not part of this study, included shockwave therapy, home training, corticosteroid injections, surgery, and exercise programs

[2] Cyanocobalamin IM (off-label) [2] [4] Preferred route for patients with any of the following: [1] [3] [11] Neurological deficit Severely low cell counts on CBC Very low serum vitamin B 12 levels Patients sometimes develop itch, flu-like symptoms, and/or anaphylaxis