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Nerve and sympathetic blocks may cause bleeding, bruising, infection, temporary numbness or weakness, transient worsening of pain, vascular puncture, intravascular injection, local-anesthetic toxicity, or injury to nearby structures

A drop from 567 to 494 still leaves you in the normal range

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If your deficiency is more serious and you have symptoms of ill-health, a stronger dose of Vitamin B12 may be prescribed to be taken orally, in an IV drip or an intramuscular shot

This sample is then analyzed under a microscope to determine the extent of liver damage and assess the progression of the disease