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Consent to publication has been obtained: the Medical Ethics Committee of Shenzhen Longgang Central Hospital approved the publication of the case

Increased energy levels: Vitamin injections can boost energy levels by aiding in the production of red blood cells and improving metabolism

A deficiency in B12 can lead to a reduction in red blood cell production, resulting in a condition known as pernicious anemia

Patients should report persistent injection-site reactions, severe nausea, chest pain, or shortness of breath to their provider immediately

Skin biopsies and clinical photography were evaluated at weeks 4, 8, and 12