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In conditions like ME/CFS, researchers have discovered a fascinating and troubling phenomenon: patients often have normal levels of Vitamin B12 in their standard blood tests, but significantly depleted levels of B12 in their cerebrospinal fluid (CSF)

In the latter case report, the authors described neurological signs (dull mental status, low menace response, reduced facial sensibility, reduced postural reactions), normal urinary MMA, and hyperintense, bilaterally symmetrical, diffuse lesions on a magnetic resonance imaging (MRI) exam

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Other vaccines billed under the 90471 CPT code follow RBRVS-based payment

Rights and permissions About this article Cite this article Bensky, M.J., Ayalon-Dangur, I., Ayalon-Dangur, R