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[DOI] [PubMed] [Google Scholar] 5.Sikiric P., Seiwerth S., Brcic L., Sever M., Klicek R., Radic B., Drmic D., Ilic S., Kolenc D

You might feel tired, weak, or constipated

An accurate injection was associated with good pain reduction with VAS (visual analogue score) and Constant score returning to pre-injection level at six weeks in all patients

Therefore a B12 deficiency may lead to decreased serotonin production, which in turn may cause a depressed mood