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Increased serum IgA and IgM against LPS of enterobacteria in chronic fatigue syndrome (CFS): indication for the involvement of gram-negative enterobacteria in the etiology of CFS and for the presence of an increased gut-intestinal permeability

Some breakfast cereals are also fortified with vitamin B12

A vitamin B12 deficiency can cause extreme fatigue, among other symptoms, and leave individuals feeling weak and foggy

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Some facilities use both approaches together for difficult wounds, though research on combined protocols is limited