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While mechanistically similar to tennis elbow, the different anatomy requires adjustments to injection technique and expectations around recovery timelines

The FDA controls all drugs, devices, and biologics you use in your practice, including how you use them and what you say about them

Your gut bacteria play a bigger role than you might think they can actually produce histamine themselves1

However, with direct injection, if you do not need the additional B12, it may result in high levels in your blood that can cause side effects including gastrointestinal issues, headache and dizziness, tiredness and weakness, or skin irritation until the excess is flushed out via your kidneys and urine