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As well as new needles, barrels, swabs and bins, staff can help with: safer injecting advice advice on sore or infected injecting sites testing for hepatitis C and HIV hepatitis B vaccinations free condoms and sexual health advice disposal bins What to expect when you visit a needle and syringe service When to get medical help Get medical advice if you have: Unexpected treatment effects or any symptoms you are unsure about, including those that are physical and psychological If you are injecting, ensure you get medical advice if you have: Any redness, pain, warmth, swelling or blistering at your injection site, or you get a fever you could have an infection or abscess A feeling like an electric shock when you inject, or any ongoing numbness or tingling these can be signs of nerve damage Search for a local service near you Needles and syringe services are free services where steroid users are welcome

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The typical duration of therapy ranges from 4 to 12 weeks

Results: We included 707 patients, with a median age 64.6 years, 80.6% male and 59.8% White, 15.0% Black, 8.2% Asian, and 23.2% Hispanic