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doi: 10.1016/S0026-0495(99)90013-6 39 AlesciSManoliICostelloRCoatesPGoldPWChrousosGPet al

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Molecules 29(11):2550 Thao NT, Do HD, Nam NN, Tran NK, Dan TT, Trinh KT (2023) Antioxidant nanozymes: mechanisms, activity manipulation, and applications

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They need to consider fortified foods or supplements to meet their needs

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This severe metabolic inflexibility directly contributes to the debilitating phenomenon of post-exertional malaise (PEM), where patients experience a massive, multi-day crash in symptoms following minor physical or cognitive exertion, effectively trapping them in a cycle of energy debt

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