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Diagnosis requires extreme fatigue lasting at least 6 months plus at least four additional symptoms: unrefreshing sleep, cognitive impairment ("brain fog"), muscle pain, joint pain, sore throat, tender lymph nodes, or new headaches

The primary outcome worsened by 3.5 points in the placebo group and 6.0 points in the nicotine group

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These antibodies to intrinsic factor can be detected several years before the onset of symptoms of pernicious anemia.[ref] What triggers autoimmune gastritis

Patients can schedule virtual consultations, receive their prescriptions by mail, and participate in follow-up assessments, all from the comfort of home

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