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The anesthetic cream needs to be in place for approximately 45 minutes to be maximally effective if it is prilocaine/lidocaine, like EMLA

If you are currently suffering with any infections, are taking antibiotics or have current cold and flu symptoms, then having the Vitamin B12 shot at that time is contraindicated

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Patients should prepare for the discussion by documenting their weight trajectory, current eating patterns, exercise routine, and any symptoms or concerns

Symptoms may include fatigue, confusion, poor balance, numbness and tingling of the arms and legs, difficulty walking or talking, and vision changes