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Figure 8 3.5 Chronic fatigue syndrome (CFS) A growing body of clinical evidence shows that the gut microbiota plays a critical role in CFS, with consistently observed reductions in butyrate-producing bacteria and enrichment of Enterobacteriaceae , together with frequent depletion of anti-inflammatory taxa such as Faecalibacterium (Knig et al., 2021

Short-term storage: Room temperature in a sealed container is acceptable for several months

One of the main functions of vitamin C is its role as a cofactor of enzymes such as -ketoglutarate and iron-dependent dioxygenases (Fe 2+ /-KGDDs), where it partially maintains the reduced state of the Fe 2+ ion (Monfort and Wutz, 2013

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The benefits we see in dermatology are from topical use, not ingestion, she says

Common symptoms include: Extreme, unexplained fatigue lasting longer than six months Post-exertional malaise (PEM) exhaustion after physical or mental effort Sleep that feels unrefreshing Muscle and joint pain Cognitive difficulties (brain fog) trouble concentrating or remembering things Frequent headaches Dizziness or lightheadedness upon standing (orthostatic intolerance) Sore throat or swollen lymph nodes Low stress tolerance or mood changes If you suspect youre experiencing CFS, certain lifestyle adjustments can help support your energy and reduce symptom flare-ups: Avoid overexertion and allow recovery time between activities