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It is diagnosed according to the Canadian consensus criteria, at least 6 months after onset when the following symptoms are present: fatigue, post-exertional malaise with a recovery period of at least 24 h, sleep dysfunction, pain, at least two neurological/neurocognitive symptoms and at least two symptoms involving the autonomic, neuroendocrine or immune system [19]

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The most common forms used are cyanocobalamin (stable, widely available) and methylcobalamin (the active form, preferred by some providers for neurological support)

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These medications, called GLP1 antigens, mimic the naturally occurring glucagon-like peptide 1 (GLP1) hormone