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10.1136/bmj.n71 [DOI] [PMC free article] [PubMed] 18.Higgins JPT, Thomas J, Chandler J et al (2021) Cochrane handbook for systematic reviews of interventions version 6.2 19.Sterne JAC, Savovi J, Page MJ et al (2019) RoB 2: a revised tool for assessing risk of bias in randomized trials

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This exhaustion often develops gradually over months or years as the body's B12 stores become depleted

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