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An occupational therapist can help manage these movements and reduce strain

Plant Physiol 114:275284 Johnston EJ, Rylott EL, Beynon E, Lorenz A, Chechik V, Bruce NC (2015) Monodehydroascorbate reductase mediates TNT toxicity in plants

In the long run, vitamin B12 deficiency may lead to anemia and nervous system damage, according to the NIH