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Abbreviations CT: Combined treatment SS: Single surgery JOA: Japanese Orthopaedic Association LDH: Lumbar disc herniation MIS-TILF: Minimally invasive transforaminal lumbar interbody fusion ODI: Oswestry Disability Index PEID: Percutaneous endoscopic interlaminar discectomy VAS: Visual Analog Scale VB12: Vitamin B12 RCT: Randomized controlled trial POD: Postoperative day TNF-: Tumor necrosis factor alpha IL: Interleukin PGE2: Prostaglandin E 2 CI: Confidence interval References Han J, Tang W, Li G, Ji X, Wu X, Zhu K, et al

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Note they didnt consult a psychiatrist despite the link between low B12 and poor mental health being discovered over a hundred years ago

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