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Because of its role in nerve health and neurotransmitter signaling, studies indicate that vitamin B12 benefits cognitive function and is used to lower the risk of neurodegenerative diseases, including Alzheimers disease and dementia

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Postprocedure Follow-Up Expect some degree of immediate relief with local anesthetic effect Expect from 2 to 5 days to start steroid effect Assess patient for lower extremity weakness Assess patient for any signs of intravascular anesthetic injection Avoid submersion in water (eg, swimming, bathtub) for 24 to 48 hours Keep pain log Potential Complications and Pitfalls Intravascular injection into aorta or vena cava (needle is too anterior) Intrathecal or epidural injection (needle is too medial or larger volumes are injected) Lumbar plexus block (psoas compartment injection) Hematoma formation Abscess formation Allergy to any component of procedure Clinical Pearls Thorough history and physical examination to ensure accurate diagnosis

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