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We discuss how ME/CFS emerges from an intricate web of genetic vulnerabilities and environmental triggers, notably viral infections, leading to a complex series of pathological responses including immune dysregulation, chronic inflammation, gut dysbiosis, and metabolic disturbances

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Because of the melena, we are going to do an upper endoscopy

Energy value 354Kj/81kcal Protein (carnitine): 20g Carbohydrates: 0g Fat: 0g Organic acids: 4.5 g Tea polyphenols: 20mg Tea catechins: 15mg Epigallocatechin malate (EGCG): 5.75 mg Chrome : 2000u Warning: Store in a dry environment, in a well-closed container at a temperature up to 25C, out of reach of small children

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