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These effects do not differ in term of amplitude, but they are longer with administration of oral water than with the infusion of a saline solution

FASEB Journal 2010;24:lb325

Vitamin B12 deficiency causes fatigue and other ME/CFS-like symptoms so it should be excluded before a diagnosis of ME/CFS is made, especially in people where there is no clear infective onset

However, the precise mechanisms underlying the discrepancies in hepatic IGF-1 level caused by the gut microbiota shift remain unclear

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