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It's Usually Not The High Levels It's How You Process The B12 What's actually driving the side effects most of the time is something intrinsic to how that particular person is processing the vitamin B12

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Additionally, many adult ME/CFS patients make use of the self-scoring Bell Chronic fatigue immune dysfunction syndrome (CFIDS) disability scale, a symptom scale created by Dr David Bell in 1995 (55)

doi: 10.1038/nrneurol.2011.150

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