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Following exercise or exertion, patients with ME/CFS exhibit elevated levels of pro-inflammatory cytokines in peripheral blood, accompanied by muscle fatigue, exhaustion, and cognitive impairments, indicating that mitochondrial-driven inflammatory signaling may be a potential key driver of PEM symptoms (69)

A counteraction with the stable gastric pentadecapeptide BPC 157 (PL 14736) Journal of Physiology and Pharmacology 2010, 61, 2, 241-250 (3) E.Lee and Padgett (2021) Intra-Articular Injection of BPC 157 for Multiple Types of Knee Pain Alternative Therapies in Health and Medicine, 2021 Jul;27(4):8-13

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