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( 7 ) Even men with normal diets can fall short if their body struggles to absorb B12 properly
Option (Evidence Strength: Grade C) Major Surgery Major surgery (e.g., substitution cystoplasty, urinary diversion with or without cystectomy) may be undertaken in carefully selected patients with bladder-centric symptoms, or in the rare instance when there is an end-stage small fibrotic bladder, for whom all other therapies have failed to provide adequate symptom control and quality of life improvement
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While mechanistically similar to tennis elbow, the different anatomy requires adjustments to injection technique and expectations around recovery timelines
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