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In some embodiments, a composition disclosed herein is administered on or near the round window or the crista fenestrae cochleae through entry via a post-auricular incision and surgical manipulation into or near the round window or the crista fenestrae cochleae area

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Following treatment, neurological re-evaluation demonstrated improvement in vibration sense (medial malleolus: right 7 s/left 7 s

However because vitamin B12 is primarily found in animal products such as milk, cheese, and eggs, vegans are at higher risk of having a vitamin B12 deficiency