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The challenge for clinicians has always been that standard neurological exams, including nerve conduction studies (NCV) and electromyography (EMG), are often entirely normal in SFPN patients because these tests primarily evaluate large nerve fibers. This is where the ENFD test becomes invaluable. It offers a direct window into the health of the small nerve fibers by analyzing a small 3mm skin punch biopsy. 🔗 [Link to document or portal] This represents