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Evaluation typically includes cognitive testing, inflammation markers, and assessment of sleep, hormones, and metabolic health, all of which influence brain function

Hence, this autoantibody presence especially targets the autonomic and central nervous systems (503), which may explain the dysautonomia and immune dysregulation present in ME/CFS (58)

Doctors might change the dose or how often you get shots based on what they see and lab tests

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This is infrequent and its really not a big deal