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Carpal tunnel surgery may be considered when: Nerve conduction studies confirm wrist compression Conservative care has failed Severe muscle atrophy develops Cervical surgery may be considered when: Progressive neurological deficits occur Significant spinal cord compression exists Conservative treatment fails However, surgery is not automatically the first step in either condition

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While the B12/lipotropic injections are given by the medical team at your scheduled weight checks, which keeps them monitored as part of your plan, we also offer our B12/lipotropic injections to go