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With the last B12 result still being the same, I think I am going to ask my PCP for a referral to a hematologist

J Chem Phys 59(2):569590 Pyszczynski SJ, Munson EJ (2013) Generation and characterization of a new solid form of trehalose

As a result, the search for an infectious viral etiology continued over the years, but a firm causative association has been discounted for most, as no consistent presence of virus, DNA or transcripts has been established in the MS brain that is distinct enough from non-MS controls to provide evidence beyond reasonable doubt (for review see Gilden, 2005

Di Santo A, Mezzetti A, Napoleone E, Di Tommaso R, Donati MB, De Gaetano G, Lorenzet R

You inject once nightly for 10 nights in a row, then stop and wait 4 months