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If tremors exist or body movement is greatly affected, a referral may be given to a neurologist to rule out neurodegenerative diseases such as Parkinson's Disease

If you take B12 supplements, multivitamins, or receive B12 injections, the high result is almost always a reflection of your intake and is clinically insignificant

Neurol 2014;75:837850

The most beneficial therapeutic approach to treating uncontrolled painful DPN that does not respond to monotherapy is combination therapy, 8% capsaicin patch, or SCS