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Yokoi, K., Ito, T., Maeda, Y., Nakajima, Y., Ueta, A., Nomura, T., Koyama, N., Kato, I., Suzuki, S., Kurono, Y., Sugiyama, N., and Togari, H

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Extensive research into muscle dysfunction in CFS/ME has shown that patients often exhibit a pathological overreliance on this anaerobic metabolism, even during incredibly low-level, everyday exertion

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