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doi: 10.1177/0003319714532169 219

These elevated level of neuroimmune reactions and activated signaling pathways in astrocytes and glial cells have been reported as consequences of AFs (257)

See National Library of Medicine on Cyanocobalamin, ncbi.nlm.nih.gov/books/NBK555964

This immune connection provides the rationale for using IVIG therapy in selected cases of SFN, particularly those that have failed to respond to conventional treatments