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However, practical considerations exist

The benzyl alcohol is a backup, not a primary defense

GH peak/insulin-like growth factor-1 (IGF-1) were also significantly reduced in severe ME/CFS patients compared to controls and ME/CFS patients with mild disease

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And in the meantime (because you really do need more B12) consider self-injecting B12 to keep you going until you can access appropriate support from a medical professional

Do not jab or hesitate