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A higher number of female runners is typical in distance running, but our study did not include enough men to reasonably test for potential gender differences in outcome measurements

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Recommended investigations include: Full blood count with blood film examination Serum vitamin B12 level Serum folate (to exclude combined deficiency) Intrinsic factor antibodies Thyroid function tests (autoimmune association) Consider MMA and homocysteine if diagnosis uncertain and available Neurological examination should be performed in all patients, assessing for peripheral neuropathy, proprioception loss, and signs of subacute combined degeneration of the spinal cord

Modifier 59 applies to the second injection when multiple distinct injections are given

doi: 10.1016/j.preteyeres.2011.08.001 145 SambharaDArefAA