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Post-hoc pairwise comparisons were conducted using estimated marginal means (EMMs) with Tukeys adjustment for multiple comparisons, employing the emmeans package 25

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Our injections replenish B12, addressing underlying deficiencies and improving mood, leading to increased energy and well-being

Muscle and heart disease: including muscle weakness, cardiomyopathy (myocardial hypertrophy or dilation), and arrhythmias.Nervous system effects: may manifest as brain damage, seizures, intellectual disability, ataxia, etc

Exercise and movement Exercise remains one of the most evidence-supported fibromyalgia interventions despite its challenges