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Fluid such as the lidocaine and cortisone that is injected during an ESI is free to flow up and down the spine and inside the epidural space to coat the nerves that run inside the spinal canal

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Vitamin B12 Deficiency Causes of vitamin B12 deficiency include difficulty absorbing vitamin B12 from food, lack of intrinsic factor (e.g., because of pernicious anemia), surgery in the gastrointestinal tract, prolonged use of certain medications (e.g., metformin or proton pump inhibitors), and dietary deficiency