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But often, a hidden culprit is a vitamin B12 deficiency causing a specific type of anemia

Explain to the patient that the lidocaine will wear off in an hour or so, and that they will be back to their normal pain until the steroids start kicking in (anywhere from 1-7 days)

If you are constantly lethargic even after a full night of sleep, you may have need B12 shots

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Day 6: Pacchanta Tinqui Cusco Activity: Final return hike and transfer to Cusco