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Ensure adequate B12 and folate intake, and consider additional supplements, strategies or herbal support under professional guidance

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Pleuritic pain, sharp, stabbing pain that worsens with deep breaths, coughing, or movement, can indicate inflammation of the lining around the lungs (pleurisy) due to pneumonia, pulmonary embolism (blood clot in the lung), or a pneumothorax (collapsed lung)

If the joint feels stable, buddy taping to adjacent digits for 7 to 10 days is an acceptable immobilization technique (see Figure 109-3)