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Patients with vegan diets, post-bariatric history, or absorption challenges who need consistent repletion

this is paradoxical as severe and very severe patients are incapable of even the slightest exertion ( Probable predisposition and causes of ME/CFS The diverse symptom presentation and patient heterogeneity indicate that ME/CFS is likely to have a multifactorial origin ( Genetic predisposition Unfortunately, there is little consensus among researchers on the genetic, cellular, and molecular influences that alter the risk of developing ME/CFS ( 2 ) in large cohorts, and two of these studies reported non-zero results, suggesting a heritability risk for ME/CFS

It can be especially helpful if you: Follow a vegan or vegetarian diet B12 comes almost entirely from animal products, and fortified foods may not fully cover needs

Injection-based therapies are not universally appropriate