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However, when symptoms occur, often due to the underlying condition rather than the elevated B12 itself, they may include 12 : Acne Headaches Anxiety Irregular heartbeats Trouble falling or staying asleep Nausea Fatigue Dizziness The symptoms of high vitamin B 12 are vague

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Gharibo says that it depends on the patient and the clinicians judgment as far as which injection should be performed, and which steroid should be injected, and whether a cortisone or steroid should be injected at all. For example, nerve blocks for facet joints and trigger point injections may not involve steroid injections