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Possible adverse effects and risks of cortisone shots include: Joint cartilage damage Osteonecrosis (death of surrounding bone) Weakening or rupture of a tendon Nerve damage Joint infection Temporary flare of pain and swelling in the joint Temporary facial flushing Temporary increase in blood sugar Osteoporosis (thinning of bones) Thinning of skin near the injection site Lightening or whitening of skin near the injection site Why does joint pain get worse after a cortisone shot

Renerve Plus Injection Composition Methylcobalamin (active form of vitamin-B): 1,000-g Vitamin B6 (Pyridoxine Hydrochloride) : 100 mg Vitamin B3 (Niacinamide/Nicotinamide) : 100 mg Thiamine Hydrochloride (Vitamin B1) : 100 mg DPanthenol (Provitamin B5) : typically around 50 mg Some formulations may also include trace amounts of folic acid, selenium, -lipoic acid, vitamin E, carotene, chromium, and zinc, depending on regional variations

therefore, we ask that you please provide us with a recent copy of lab work, which reflects liver and kidney function