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10,11 Dairy products like milk, although lower in vitamin B12 (0.30.4 g per 100 g), but they contribute significantly to overall intake due to their widespread consumption

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[DOI] [PMC free article] [PubMed] [Google Scholar] 62.Amin M.N., Liza K.F., Sarwar M.S., Ahmed J., Adnan M.T., Chowdhury M.I., Hossain M.Z., Islam M.S

It has also been suggested that in patients with ME/CFS exercise may trigger or aggravate mitochondrial dysfunction leading to increased lactate production, reduced ATP availability in the muscles (Lien et al., 2019), abnormal levels of metabolites (Germain et al., 2022), abnormal redox balance (Paul et al., 2021) and/or nitrosative stress (Morris et al., 2017)