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This pilot study suggest that the nasal drops may be used as an alternative to injections because two thirds of ME/CFS patients reported a positive effect, accompanied by an increased number of steps, improvement of the RAND-36 physical functioning scale and the CIS20r fatigue scale, and a significant increase in serum vitamin B12 levels

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Nevertheless, Sartini et al

For many individuals, this process is inefficient

While some experimental studies show promising results, this potential benefit remains under investigation