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Presented for research literature review only Sheehan D et al
Proposed mechanisms include: Persistent immune dysregulation Metabolic changes Central sensitization and altered pain processing Residual tissue injury Autonomic dysfunction Psychological and behavioral contributors The controversial possibility of persistent Borrelia organisms or bacterial remnants The authors advocate using an inclusive classification for persistent symptoms attributed to Lyme disease while acknowledging that the exact cause may differ among patients
J Immunol (2008) 180:393845.10.4049/jimmunol.180.6.3938 87 MellerEPuzaTMillerJCFriedhoffAJSchweitzerJW
The propionyl-L-carnitine/acetyl-L-carnitine combination is also used to treat chronic fatigue syndrome (CFS)
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