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Postoperative rehabilitation as a confounder: A key limitation is that the intervention was coupled with a standardized rehabilitation protocol consisting of continuous passive motion beginning on postoperative day 1 and three months of crutch-assisted partial weight-bearing, followed by gradual return to full loading

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These symptoms include: Numbness and tingling in hands and feet Problems with balance and coordination Muscle weakness- affecting movement Vision disturbances Memory difficulties and confusion Mental health changes accompany B12 deficiency, ranging from mild depression to severe psychological issues

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