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Age Ageing 2007;36:177-83
Understanding these causes is essential for appropriate clinical management and avoiding unnecessary alarm

This genetic metabolic block severely impairs the body's ability to produce cellular energy and clear out neurotoxins, directly contributing to the hallmark symptoms of ME/CFS, including profound post-exertional malaise (PEM) and unrefreshing sleep

The entire appointment takes approximately 15 minutes, and theres no downtime
