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Even if low B12 was contributing to your symptoms, medication adjustments need to be managed by a professional who can monitor your response and taper appropriately if that becomes the right move

The needle is carefully inserted, and a mixture of corticosteroids and, in some cases, hyaluronic acid (a substance that helps lubricate the joint) is injected directly into the joint space

The pain gradually gets worse

For comparisons involving multiple means, statistical significance was assessed using one-way analysis of variance (ANOVA) followed by Dunnetts multiple comparisons test, conducted in GraphPad Prism (version 10.2.3

This is done because the vial is a vacuum, and you need to add an equal amount of air to regulate the pressure