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Environmental metals are problematic because over time they can accumulate within bodily tissues, often without the person who is affected even realizing this is happening

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

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