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Low B12 levels may contribute to fatigue, weakness, brain fog, mood fluctuations, and decreased stamina

Injection speed seems to have no impact on injection-related pain [25, 26, 35]

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Other proposed contributors discussed in the literature include modulation of the dopaminergic and serotonergic systems, growth hormone receptor expression in fibroblasts, and interaction with the nitric oxide system at the level of vasomotor regulation (Sikiric et al., 2018)