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Stuessi C, Hofer P, Meir C, Boutellier U
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Additionally, the researchers found active EBV infection in the ME/CFS tissue

Stimulatory effects of L-acetylcarnitine on the pituitary-gonadal axis in female rats

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These processes further potentiate ectopic fat deposition and worsen IR, creating a self-reinforcing cycle (14, 15)
