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The test has the following limitations: Levels of B 12 do not correlate well with clinical symptoms

Selank is a synthetic heptapeptide derived from tuftsin (Thr-Lys-Pro-Arg) with a stabilizing Gly-Pro C-terminal sequence

The pharmacology and much of the energy-expenditure mechanism rest on cell-based assays and rodent models

The condition involves dysregulation of neurotransmitters, inflammatory mediators, and stress response systems, producing a constellation of symptoms extending far beyond pain to include crushing fatigue, unrefreshing sleep, cognitive dysfunction known as fibro fog, and heightened sensitivity to temperature, sound, and light