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On the other hand, spontaneous and often substantial functional improvements [53,54,55] after partial lesioning of the spinal cord are associated with the spontaneous sprouting of axons in the corticospinal tract [56,57,58] and the formation of neural circuits by spared spinal cord tissue [26]

In the withdrawal trial, participants switched to placebo regained about 14% over the following year. Tapering, at least 1.2 g/kg of protein, resistance training, and follow-up reduce the risk, but no post-stop protocol guarantees maintenance

I guess, it's always a difficult balance between testing for things that are likely and things that are less likely, and also the costs of these tests are not necessarily insignificant for many of us as well