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Many people have a dominant vertebral artery and a smaller (hypoplastic) partner or just a single vertebral artery, and this by itself usually isn’t a problem. You should work with local providers to ensure the vessel anatomy isn’t contributing to CCI-like symptoms such as headache, dizziness, or imbalance. However, usually this has little to do with why a CCI patient has symptoms. Overall, it’s a common imaging finding in asymptomatic folks and typically not a cause for alarm. Dr. Centeno practices at the Centeno-Schultz clinic, which is one of the founders of a new field of medicine called interventional orthobiologics., These are precise image-guide injections of PRP, stem cells, and other natural substances to help ligaments, tendons, and joints heal. The clinic is involved in many clinical research studies, runs a university level pure research lab in orthobiologics, and uses advanced clean room processing on-site of cellular therapies. See https://centenoschultz.com/ Dr. Centeno runs the CCI Practice at CSC and developed the PICL procedure starting in 2015. He has trained several CSC physicians in the procedure and in how to diagnose and manage CCI patients. He is also in charge in developments and research on craniocervical instability for this CCI practice. To schedule a telemedicine or an in-person visit, please reach out to the clinic at +1-303-429-6448 or contact Isis at [email protected]. Dr. Centeno also actively answers questions on his Reddit thread at / picl You can also download his book on craniocervical instability at https://centenoschultz.com/craniocerv... Finally, he does weekly FB Lives at / centenoschultzclinic