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Current evidence indicates that ME/CFS patients exhibit significant alterations in T cell metabolism and function, characterized by mitochondrial dysfunction, reduced glycolytic activity, and upregulation of exhaustion markers [53, 203, 204]

Valproate-induced hepatotoxicity In up to 44% of patients chronic dosing with VPA may be associated with elevation in transaminases [23] during the first months of therapy

Participants were non-Hispanic white (n = 38) and African American (n = 2)

A study by the same research group showed that gut microbes also metabolized phosphatidylcholine, another athletic supplement, to TMAO
