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Where neurological involvement is suspected, IM hydroxocobalamin must be started urgently without waiting for blood test results to prevent irreversible nerve damage

It is generally easier to restore function when irritation is addressed before long-standing structural damage accumulates

Obesity itself is one of the most underrecognized causes of low milk supply, working through several mechanisms: excess fat tissue slows the hormonal shift that "turns on" full milk production after delivery, high leptin levels interfere with prolactin response, and insulin resistance (extremely common in obesity) disrupts the metabolic signaling your mammary gland needs to produce milk efficiently

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