During the first appointment, the acupuncturist will talk to you about your condition. Then the provider will examine your body for areas that will react to acupuncture. The acupuncturist will tap the needles into points into your skin throughout the body.
The needles are sterile, disposable and as thin as a human hair. An acupuncturist inserts needles at various depths, from a fraction of an inch to a couple of inches. The needles stay in for a few minutes or as long as 20 minutes.
From https://my.clevelandclinic.org/health/treatments/4767-acupuncture
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