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In a case study involving ME/CFS discordant identical twins, the affected twin showed reduced abundance of Bifidobacterium and Faecalibacterium compared to the non-affected twin, coupled with decreased gut alpha diversity [26]

Wear sterile gloves if you are administering the injection to someone else

When results fall in this borderline range, a methylmalonic acid test is recommended to confirm whether a functional deficiency exists

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Pinch a thick layer of skin on the upper side of your arm and inject the needle at the appropriate angle into this pinched skin