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Surgical scissors, needles and syringes, Blu-Kote, latex gloves and B12 supplements

A commenter requested that several cases be excluded or stratified, such as those involving malignancy, infection, fracture, major structural abnormalities, urgent neurologic compromise, prior spine surgery, implanted hardware (including spinal cord stimulators or fusion constructs), ( failed comprehensive conservative care with documented non-response to multimodal therapy, and non-spinal mimics

It should be stored at room temperature and not frozen, and should be used within 28 days of first puncture

Methylcobalamin is less stable than cyanocobalamin and is particularly susceptible to photodecompositionthat is, destruction from light exposure

Results: Most people feel the energy shift quickly