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[DOI] [PubMed] [Google Scholar] 116.Chawla L.S., Beers-Mulroy B., Tidmarsh G.F

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Skin biopsy directly quantifies intraepidermal nerve fiber density, detecting early small-fiber damage missed by nerve conduction studies [38]

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For most people, the practical approach involves working with a healthcare provider to establish a baseline through blood work, then adjusting session frequency based on symptom improvement and lab results

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Important contraindications include uncontrolled hypertension, a history of seizure disorders, and current or recent use of opioid medicines

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