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As no data are available on efficacy of this formulation, we studied vitamin B12 serum levels, the physical activity scale of the RAND-36, the number of steps on an activity meter, and the fatigue and concentration scales of the CIS20r questionnaires, before and after 3 months of treatment in ME/CFS patients

Reference standards: anastrozole, cabergoline, clomiphene citrate, letrozole, mesterolone, and raloxifene hydrochloride (EDQM, Strasbourg, France)

Importantly, lipotropic combination injections are generally unlicensed in the UK and, if used, must be supplied as MHRA-regulated 'specials' on prescription from licensed manufacturers or importers