The profound fatigue, the cognitive fog that clouds your thinking, and the post-exertional crashes are not merely "in your head"they are the tangible, debilitating results of measurable physiological dysfunction
Common side effects include nausea, vomiting, and diarrhea, especially when starting the medication
Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen should be used cautiously and only after consulting a pharmacist or GP, particularly in patients with cardiovascular risk factors, gastrointestinal conditions, or renal impairment
Others need a clinician to assess food intake, hydration, co-medications, reflux, or another condition
Hypoparathyroidism in mitochondrial trifunctional protein deficiency