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I take cyanocobalamin as my B12 supplement for two reasons: its high stability and its track record of safety and efficacy

doi:10.4161/oxim.3.1.10476, PMID: 20716923 Morris G, Maes M (2013) Case definitions and diagnostic criteria for myalgic encephalomyelitis and chronic fatigue syndrome: from clinical-consensus to evidence-based case definitions

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Essential supplies: Peptide vial (lyophilized powder) Bacteriostatic water (multi-dose vial) Insulin syringes (1 mL, 100-unit, 29-31 gauge) for drawing doses Larger syringe with needle (3 mL syringe with 18-21 gauge needle) for reconstitution Alcohol swabs or 70% isopropyl alcohol pads Clean, flat work surface Recommended additions: Disposable gloves (nitrile preferred) Sharps container for used needles Pen and label for marking the vial with date and concentration Calculator or the peptide reconstitution calculator Two notes on syringes

But the new Medicare benefit comes with caveats, particularly around clinical guidelines and what happens when the short-term program ends

In these dogs, the IMHA usually responds very well to treatment