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Fatigue that doesnt lift with a full nights sleep Tingling, numbness, or a pins-and-needles feeling in the hands or feet A sore, red, or unusually smooth tongue Low mood, irritability, or trouble concentrating Unsteady balance, in more advanced cases Nerve symptoms, especially tingling in the feet, can show up before a blood count looks abnormal, so fatigue alone can miss the picture

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Occasionally, a fourth leaf will grow, which has become the symbol of good luck

Similar to epidural and facet joint injections, trigger point injections involve injecting a combination of local anesthetic and, typically, an anti-inflammatory (such as a steroid) into the problem area