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[ref] Studies also show increased lactate in the cerebrospinal fluid in ME/CFS.[ref] Elevated lactate levels correlate with the presence of post-exertional malaise (PEM) .[ref] Related articles: Lactate and Pyruvate Changes in cardiac output and cerebral blood flow: A 2024 study showed that 91% of the ME/CFS patients in the study had an abnormal cardiac output and abnormal cerebral blood flow in response to going from lying down to standing up (tilt table)

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Until then, Andy De Santis RD MPH What Are The Best Foods For Fatty Liver Disease?