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This process is crucial for the energy metabolism of cells, especially muscle cells

This is likely due to a combination of factors, including but not limited to little coverage of this topic in medical training pertaining to ME/CFS and comorbid conditions

On the one hand are microflora-associated metabolites such as short-chain fatty acids, tryptophan metabolites, immunostimulants and endogenous cannabinoids that may play a mediating role

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& Herreros, J