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These can include: Electrocardiogram (ECG) if heart-related symptoms are suspected Blood tests to check for diabetes, vitamin B12 deficiency, or inflammation MRI or CT scans to look for disc problems, stroke, or spinal issues Nerve conduction studies to evaluate nerve damage or compression Ultrasound or vascular studies if circulation problems are suspected Treatment depends entirely on the cause, which is why identifying the source matters so much

Fraser et al, however, reported no resistance by patients to reducing the frequency of their injections

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