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Their study found that 44.7% of ME/CFS patients had elevated blood lactate at rest which was correlated with increased severity of PEM, although this study did not see a correlation with fatigue severity (Ghali et al., 2019)

Local injection near injured tendons may provide advantages over systemic administration for these focal injuries

Holding that discipline is what ensures first do no harm remains central, particularly in health-conscious individuals where potential benefit is uncertain and avoidable risk matters more