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The injection includes a combination of anesthetic (lidocaine or bupivacaine) and steroid (cortisone, Kenalog or dexamethasone)

No new metabolites were found in urine, bile, and fecal samples other than the six components found in the plasma

What Clinical Guidelines Recommend Current medical guidelines, including recent updates from the UKs National Institute for Health and Care Excellence (NICE) and the British Society for Haematology, explicitly recognize high-dose oral B12 as a safe and cost-effective alternative to injections [12] [3]
