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Fish tapeworm infection may cause cobalamin deficiency because of competition for cobalamin in the intestine before the "cobalamin-intrinsic factor" complex reaches the terminal ileum

The effects became measurable after 20 weeks of treatment, providing objective biochemical confirmation of what patients reported experiencing

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This creates a vicious cycle: viral inflammation depletes antioxidants, genetic bottlenecks prevent the synthesis of new antioxidants, and the resulting oxidative stress causes the mitochondria to shut down ATP production, leading to the debilitating fatigue that characterizes ME/CFS and Long COVID

10.1016/j.ejmech.2021.113378 82 KebebewE.LindsayS.ClarkO