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Herrera-Vsquez et al., 2015
Surgery success rates are generally good for pain relief (70 to 90% improvement in leg pain symptoms), but come with risks: infection, nerve damage, disc reherniation (5 to 15% recurrence rate after microdiscectomy), and adjacent segment disease with fusion (20 to 30% develop problems within 10 years)
The potential increases with continued exposure to solvents, chemicals, and sunlight
Vitamin B12 monitoring is particularly important for patients also taking metformin, as both medications can affect B12 status
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