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CoQ10 concentrations in the liver, lungs, kidneys and heart are all affected to various degrees

This presumably led to higher increases in L-carnitine levels in the blood, resulting in stronger stimulation of the urea cycle and a larger reduction in ammonia levels in the liver

An important implication is that patients with ME/CFS and those with fatigue in the course of long COVID should not be studied as a single group, at least until the mechanisms are better understood
6 GO occurs when your immune system attacks the muscles and other tissues around your eyes