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Melatonin mitigates vincristine-induced peripheral neuropathy by inhibiting TNF-alpha/astrocytes/microglial cells activation in the spinal cord of rats, while preserving vincristine's chemotherapeutic efficacy in lymphoma cells

Symptoms may also include voice and body tiredness, a decreased ability to change your pitch, and neck pain

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Needle electromyography shows myopathic potentials characterized by short-duration, low-amplitude polyphasic units on voluntary activation and increased spontaneous activity with fibrillations, complex repetitive discharges, and positive sharp waves