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[4] In some individuals, an auto-immune response inhibits the production of a protein called intrinsic factor which is present in normal stomach secretion

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In the study, researchers compared the medical records of participants who had received either just one lumbar epidural steroid or no epidural steroid injection prior to the minimally invasive lumbar decompression, to participants who received two or more epidural steroid injections prior to the minimally invasive lumbar decompression