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Important: Only preservative-free lidocaine may be used for spinal/epidural injections, so the standard 1% multi-dose vial (which contains preservative) is not for intrathecal use

Taking readings at the same time each day, ideally in the morning before any activity, creates a baseline against which changes can be assessed

and facial exercises

This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation

This can help to improve symptoms of low B12 sooner and prevent them from arising in the longer term