Well the happiest ending would be appropiately bittersweet. The comatose sister ends up 'merely' being the physical equal of her twin. She's alive, not brain damaged, whole and has her whole life ahead of her. The only sadness would be from the lack of those features which made the story so stimulating in the first place.
But that might be a paragraph long epilogue after a whirlwind of new experience, debachery, possibly Fugitive level chasing from the 'Govt' over the serum, property damage, feats of strength, Truck-Fu, Amazon-fu and a drag out battle with the next iteration of the formula's recepient.

Seems pretty cool, as long as the story can keep your interest Tenebrae and you're having fun writing it full steam ahead!