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Conclusion The continued absence of a robust, specific physical or biochemical biomarker means that those living with ME/CFS have no certainty over their diagnosis, whilst many in society persistently identifies those with the condition as malingerers

10.1016/j.bcp.2021.114891 Biochem

It exists in various different forms, including: cyanocobalamin, hydroxycobalamin, methylcobalamin and adenosylcobalamin, Cobalamin (Vitamin B12) cannot be produced by your body, so it must be obtained via diet and supplementation.

Vitamin As role in immune system function means that a deficiency makes respiratory and digestive tract infections more common

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There are minimal risks associated with the treatment, and side effects are rare