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doi: 10.1016/j.cyto.2015.05.015 55 BaiYZhuRTianYLiRChenBZhangHet al

Although the causal relationship between EB virus infection and SS is not yet clear in current research, most studies support that the EB virus may be involved in the first stage of immune tolerance failure [33]

Prepare multiple small vials instead of one large container

Serum B12, and potentially methylmalonic acid (MMA) and homocysteine, give your clinician the data to determine whether B12 is a contributing factor or whether the mood symptoms are being driven by something else entirely