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If you are anxious or sensitive, we can use lidocaine to perform a nerve block, where we inject the numbing agent directly into your nerve bundles, just as the dentist does when you get a cavity filled although this will mean youll be numb for much longer

So, there is no one-size-fits-all answer

One of the most common things I look for when I see unexplained high B12 with concurrent symptoms is mast cell activation syndrome (MCAS)

Pull air into the syringe up to the required amount (which is typically 10 mL, but check your pharmacy information to be sure)

Variants in MTHFR, MTRR, and COMT shape baseline methylation and B12 metabolism, the pathways MIC-B12 acts on