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Notably, the absence of pain or sensory deficit after the injection suggested a direct injury to the motor branch of the axillary nerve rather than an injectate-related chemical neuropathy, which would likely have resulted in a more widespread extent of injury

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"Association of biochemical B 1 2 deficiency with metformin therapy and vitamin B 1 2 supplements: the National Health and Nutrition Examination Survey, 19992006"

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