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Just look at the history of people with ME (myalgic encephalomyelitis) or with Long-Covid, and how they have been ill-diagnosed and not well treated, and you realize how mediocre the specific evaluation of many people with unexplained symptoms may have been

"Unexpected high plasma cobalamin: proposal for a diagnostic strategy"

Ongoing scientific scrutiny is a fundamental part of this process

Adults usually get 100 mcg monthly, but this can change based on individual needs and the doctors advice