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For diagnostic purposes, facet joints can be injected in two ways: Injecting anesthetic directly into the joint Anesthetizing the nerves carrying the pain signals away from the joint (medial branches of the nerve) If the majority of pain is relieved with anesthetic into the joint, a therapeutic injection of a steroid may provide lasting neck or low back pain relief

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Both medications are given by injection, though in different sites (B12 intramuscularly, Mounjaro subcutaneously)

More serious deficiencies have the potential to impair heart and neurological function, leading to a wide range of serious symptoms, including but not limited to tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia and changes in reflexes