However, for patients undergoing frequent UDS testing, selecting an agent least likely to cause false-positives would be an important consideration to help minimize adverse consequences to patients from potentially misinterpreted results
Ellehoj, H., Bendix, L
T.LawsonA
Trigger point injections contain hydroxocobalamin (a type of vitamin B-12), along with Depo Medrol, Marcaine, and Xylocaine which are all anesthetics that help provide relief from pain and swelling
Since B12 is found primarily in animal products, including meat, fish, dairy, and eggs, a substantial reduction in food intake can reduce B12 consumption below optimal levels, particularly for patients who were already borderline deficient before starting treatment or whose diets lean toward plant-based foods
As just noted, a significant portion of patients is not diagnosed during childhood, as diagnosis of the syndrome can be complex, especially when other psychiatric conditions are also associated
