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A fourth drug, MOTs-C, was passed with a 7-5 margin with two abstentions

No PRP and other regenerative therapies currently have much stronger clinical evidence

However, there are no well-controlled studies in pregnant women, so this medication is generally recommended during pregnancy only when clearly needed

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Neurological symptoms may take 36 months to fully resolve, and some nerve damage may be permanent if treatment was delayed beyond 12 months