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Corticosteroids: Corticosteroids, such as cortisone or methylprednisolone, may be added to the injection to reduce inflammation and swelling within the trigger point

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Applied and Environmental Microbiology, 84(19): e01430e18 Saunders A M, Albertsen M, Vollertsen J, Nielsen P H (2015)

When you take a cyanocobalamin supplement, it needs to be converted into methylcobalamin and adenosylcobalamin in order to fulfil its biological function so its been suggested that taking the active forms directly makes it a superior, more straightforward way of obtaining B12

B., Capuron, L., & Kennedy, D