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Supplies: 10 mL syringe to mix low dose HCG, 22 gauge 1 inch needle to mix low dose HCG, BD insulin syringe microfine 28 gauge inch 0.5 mL to inject HCG, alcohol swabs

Ultrasound-guided perineural vitamin B12 injection may be an efficient and personalized intervention in cases of post-ganglionic BPI that failed to improve in the first 3 months

Check serum B12 level

In severe cases, there is urinary and bowel incontinence and difficulty walking

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Foods like meat, fish, and dairy are good sources of B12, and supplements can help if needed