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It certainly makes sense when you consider that vitamin B12 is stored in the liver at amounts that can sustain one's life for several years without any dietary or other sources, per ODS

[51] [57] [58] See also [edit] References [edit] Current diagnosis & treatment in gastroenterology

EJNMMI Res 12:20 Koirala P, Chen SPR, Boer JC, Khalil ZG, Deceneux C, Goodchild G, Lu L, Faruck MO, Shalash AO et al (2023) Polymeric nanoparticles as a self-adjuvanting peptide vaccine delivery system: the role of shape

The shots rapidly restore vitamin B12 levels, improving neurologic and hematologic responses

So it escapes detection by looking like self.[ref] Autoimmune diseases, such as lupus, rheumatoid arthritis, and Sjgrens syndrome, are linked to Epstein-Barr as a contributing factor.[ref] Prolonged fatigue after West Nile Virus: Research shows that a lot of people experience prolonged fatigue for months to years after having West Nile virus