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Medication may reduce nerve excitability, but pain can continue if there is ongoing vascular compression, peripheral branch irritation, dental-related nerve trauma, postherpetic nerve injury, muscle spasm, scar tissue, local inflammation, or central sensitization

While B12 injections are generally safe, some individuals may experience minor side effects, such as: Pain or swelling at the injection site Mild diarrhea Dizziness or headache Rare allergic reactions, including rash or difficulty breathing Severe side effects are uncommon

Even so, the risk of this occurring is relatively small

IGF-1 LR3 can cause significant blood sugar drops