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It generally requires preparing the patient, applying local anesthesia, aspirating fluid from the joint or bursa, and then administering the appropriate medication, like corticosteroids

Work in a clean environment away from drafts or potential contamination sources

And those who develop problems may simply stop participating in communities without reporting outcomes

Once B12 levels were normalised, the injections were stopped and lymecycline was started, allowing a complete resolution of the lesions within 3 months