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The depletion of amino acids at baseline in ME/CFS, coupled with their impaired glucose metabolism, could limit the availability of alternative energy sources during exertion, potentially contributing to PEM

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Subjective symptom assessment provides one measure, but objective markers can be valuable: Pain scales: VAS or NRS scores at baseline and regular intervals Functional measures: activities possible, sleep quality, energy levels Metabolic markers: if relevant, HbA1c and lipid panels Nerve function tests: if available, quantitative sensory testing Understanding how long peptides take to work sets appropriate expectations

Ipamorelin & CJC-1295 (The Growth Peptide Duo) Boosts natural growth hormone release, helping with fat loss, muscle gain, sleep, and recovery

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