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The depletion of amino acids at baseline in ME/CFS, coupled with their impaired glucose metabolism, could limit the availability of alternative energy sources during exertion, potentially contributing to PEM

Patients with active or recent malignancy warrant particularly careful evaluation given the theoretical concerns that apply to any compound with effects on cellular metabolism

[DOI] [PMC free article] [PubMed] [Google Scholar] 308.Yap LP

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Intensive lipid lowering with atorvastatin in coronary disease