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Incase anyone reads this: it took 10 days to get back to normal sleep, which tells me my B12 levels are going back to normal, this was a nightmare

Peer review Peer review information Nature Communications thanks the anonymous reviewer(s) for their contribution to the peer review of this work

Travelers Particularly those whove experienced jet lag or dehydration from long flights or travel to different climates

doi:10.1016/S0140-6736(13)62674-4

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Surveys from PAS and clinical experience teach us that there is a subgroup of individuals (almost 50%) who need more frequent injections to remain symptom-free