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10.1016/j.phymed.2022.154112 40 HuS.FeiY.JinC.YaoJ.DingH.WangJ.et al (2024)

However, packaging and ingredient changes may occur before theyre reflected online

Biochem Biophys Res Commun 733:150597

This suggests that non-responders were less severely affected by ME/CFS at baseline, and that the main positive effect of nasal B12 administration occurs in more severely affected patients