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B12 injections can address fatigue caused by low vitamin levels, but stress, poor sleep, and underlying medical issues can also contribute to fatigue

This article reports what has been documented, not what should be done

doi:10.1016/j.jpba.2014.11.035 Kumar N, Sangeetha D, Vaghela B et al (2012) Development and validation of a stability indicating RP-LC method for the estimation of process related impurities and degradation products of duloxetine hydrochloride and phthalic acid in duloxetine hydrochloride delayed release capsules

However, the benefits wear off quickly, and injections need repeating every few days for several weeks