Numbing cream and injection differences?

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When I got numbing cream for my microblades and numbing at the dentist, both times it caused my heart rate to sky rocket and I felt like I was going to pass out. At the dentist my heart rate shot up to 164 for 10 minutes.

I did have a very small skin biopsy and the injection to numb me did not bother me.

I am asking for future procedures/surgeries.

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