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Neurotoxicants that produce main demyelination are uncommon but could also be divided into those who affect the integrity of the myelin sheath with out or prior to damage to the myelinating cells, and people who immediately injure myelin-producing cells. Winging of the scapula could also be a consequence of weakness of the serratus anterior muscle, often because of a neuropathy of the lengthy thoracic nerve of Bell, but sometimes as a consequence of brachial plexus damage or cervical root (C7) harm. This is Per cent who volunteered in past yr a rise because the final survey in 1987, especially amongst younger volunteers (Figure 26) anxiety symptoms forums order serpina 60 caps visa.