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Multiple studies have found elevated levels of inflammatory cytokines in long COVID patients months after acute infection

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CDC.gov states: Aspiration before injection of vaccines or toxoids (i.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recommended injection sites, and a process that includes aspiration might be more painful for infants (ACIP Vaccine Administration Guidelines for Immunization | Recommendations | CDC, 2018)

Focus conversations on indication and evidence

Because these injections did not provide the level of pain relief and restoration of movement that they were hoping for, many will find themselves in our office looking at options