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Keywords: brachial plexus injury, vitamin B12, methylcobalamin, ultrasound guidance, personalized medicine Introduction Brachial plexus injury (BPI) is a serious condition that causes upper limb function impairment and may result in life-long disability 1

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This approach should be associated with the environmental one, which consists of reducing exposure to toxic substances and choosing a healthy lifestyle: a balanced diet, regular and moderate physical activity, and continuous stress management