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The API manufacturer switched back to their previous supplier of fish peptone from June 2017 and applied procedures to control histamine levels, which resulted in the majority of API batches manufactured up to mid-2018 with histamine levels between 3 and 8 ppm (11, 12)

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Patient evaluated in outpatient department from 2012 to 2018 Patient who age from 18 to 65 years old Exclusion Criteria Patient who had perinatal complications, shoulder surgery, or other nerve repair procedures of the brachial plexus Allergy or intolerance to constraint intervention materials Clinical cases Demonstrative case: A 50-year-old man (Patient 1 of Table 1) presented to a community-based outpatient clinic with left arm weakness and numbness following a traffic accident 2 months before presentation, which involved traumatic subdural hemorrhage, facial bone fracture, left second rib fracture, and pneumothorax