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Studies investigating muscle dysfunction in chronic fatigue syndrome have shown that patients exhibit an overreliance on this anaerobic metabolism even during low-level, everyday activities, leading to prolonged intramuscular acidosis and a slowed ability to clear protons from the tissue

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Monthly refill intake forms route dose adjustments through the same clinician, and the cadence is built into the plan rather than treated as a separate add-on

Bjog 113 (10), 12101217 (2006)

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(XLS) Acknowledgments The authors thank emeritus Prof