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Current evidence-based guidelines emphasize the value of multimodal treatments, which encompass both non-pharmacological and selected pharmacological treatments tailored to individual symptoms, including pain, fatigue, sleep problems and mood problems

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It was shown to inhibit cytochrome c oxidase, leading to cell death through ATP depletion (Figure 1)

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This metabolic reprogramming may lead to hindered PDH function, blocking pyruvate entry into the tricarboxylic acid (TCA) cycle, thereby causing intracellular lactate accumulation

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Two patterns are worth calling out because they are predictable rather than alarming

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