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While its found in many foods, factors like stress, medications, and poor absorption can lead to deficiency

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In reviewing data from four previously published studies of treatment with lidocaine alone or with the steroid resulted in evidence that cervical epidural injections with lidocaine alone or in combination with the steroid betamethasone alleviated pain and improved functionality in patients with neck pain. In fact the outcomes were very similar calling into question the need for the steroid