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In humans, local axonal disturbance leading to myokymia may be caused by demyelination (multiple sclerosis, Guillain-Barr syndrome, chronic inflammatory demyelinating polyneuropathy, radiation plexopathy), edema (pontine tumors), toxins (rattlesnake envenomation and clozapine administration), and ischemia, but not usually by nerve compression without the above changes

Thyroid diseases have also been known to be associated with vitamin B 12 deficiency [16, 17]

this prevents metabolic bottlenecks that might occur if one B vitamin is lacking

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First, they should get the shots from a reputable provider