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Abbreviations BBB: Bloodbrain barrier CFS: Chronic fatigue syndrome CNS: Central nervous system CoA: Coenzyme A COVID-19: Coronavirus disease 2019 CrAT: Carnitine acetyltransferase CRP: C-reactive protein HPA: Hypothalamicpituitaryadrenal IDO: Indoleamine 2,3-dioxygenase IL-2: Interleukin-2 IMD: Immunometabolic depression MDD: Major depressive disorder ME: Myalgic encephalomyelitis mGluR2: Metabotropic glutamate receptor 2 MS: Multiple sclerosis NMDA: N -Methyl-d-aspartate NMR: Nuclear magnetic resonance Nrf2: Nuclear factor erythroid 2-related factor 2 OCTN2: Organic cation novel type 2 transporter OCT1: Organic cation transporter 1 PAIS: Post-acute infection syndromes PASC: Post-acute sequelae of SARS-CoV-2 infection PDC: Pyruvate dehydrogenase complex PGD2S: Prostaglandin D2 synthase gene QUIN: Quinolinic acid ROS: Reactive oxygen species Trp: Tryptophan TCA: Tricarboxylic acid HO-1: Heme oxygenase 1 PUFAs: Polyunsaturated fatty acids CACT: Carnitine-acylcarnitine translocase MRI: Magnetic resonance imaging [ 18 F]FDG-PET/CT: [ 18 F]Fluorodeoxyglucose positron emission tomography/computed tomography References Abraham NG, Kappas A (2008) Pharmacological and clinical aspects of heme oxygenase

Hair loss was not reported in clinical trials for either drug and, thus, not listed in their respective PIs

Gastrointestinal effects such as nausea, early satiety, and changes in bowel habits are common, though typically transient and improved with gradual dose titration [30]

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At the average trial response rate of 24.2%, someone starting at 170 lbs can project losing approximately 41 lbs over 48 weeks, ending near 129 lbs

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