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A local anesthetic and corticosteroids are injected into the identified trigger point, relieving the muscle pain in the affected muscle group

In addition to being relatively painless, SQ injections are easy to do at home, and the small needle size means the risk of infections is low (Usach, 2019)

Also stress , be it physical or mental can deplete B12

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For future reconstitutions, switch to bacteriostatic water

Sandoval KE, Witt KA (2024) Somatostatin: linking cognition and Alzheimer disease to therapeutic targeting