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The mechanism at play here is called orthostatic hypotension: a sudden drop in blood pressure in your torso and head when you stand, due to your hearts inability to pump blood upward fast enough to overcome gravity, causing lightheadedness and brain fog

and Morrison, K.E

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More research is required to determine whether these symptoms are caused by subtle organ damage from the viral infection, or whether these Long COVID patients have a postinfectious immune disturbance whose pathomechanisms is like that in ME/CFS

They have different active ingredients but belong to the GLP-1 receptor agonists class of drugs

Lyophilization does not equal stability indefinitely