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The main cause of CFS is functional vitamin B12 deficiency, however, vitamin B12 levels may be normal or higher than normal and present as Paradoxical B12 deficiency

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doi: 10.1097/CM9.0000000000001300 78 JoksimovicM.AndereggA.RoyA.CampochiaroL.YunB.KittappaR.et al

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