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The alterations observed in lipid metabolism in patients with GWS and ME/CFS suggest potential mitochondrial dysfunction, which may underlie the profound fatigue characteristic of these conditions (Germain et al., 2018, 2020, 2022

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Recently, a review of fifty reports involving 43,443 subjects compared the efficacy of the central acting anti-obesity drugs lorcaserin (5HT2c receptor agonist), naltrexone-bupropion (opioid receptor antagonist combined with a norepinephrine releasing agent that stimulates POMC neuronal firing), phentermine-topiramate (a norepinephrine and dopamine modulator plus a carbonate anhydrase inhibitor), and liraglutide

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