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This restoration of mitochondrial energy production is the primary mechanism by which B12 may help manage the profound, unrefreshing fatigue and post-exertional malaise (PEM) characteristic of ME/CFS and Long COVID

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There is no known cause of perioral dermatitis, but overuse of topical corticosteroids is associated with the condition

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Mast cell activation syndrome, or MCAS, is an immunological condition where the mast cells in the body release excessive amounts of chemical mediators such as histamine, leading to symptoms such as hives, flushing, rashes, swelling, low blood pressure, dizziness, brain fog, breathing difficulties, and even anaphylaxis

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