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Description
Intervention/measurement: Assessed whether psychiatric history, gender, race, type of ESI, or the number of levels injected affected frequency and duration of neuropsychiatric symptoms at one day and one week after an ESI

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Common signs include fatigue, low mood, poor concentration, muscle weakness, tingling sensations and pale skin

The 2024 National Institute for Health and Care Excellence (NICE) guidelines on B 12 deficiency raise important questions about PA, particularly regarding its nomenclature, diagnostic criteria, and appropriate follow-up care [5]

Too much vitamin B12 intake can cause headache, nausea and vomiting, diarrhea, fatigue, weakness, and tingling

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