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Neuropathology 23 , 345350 (2003)

It is interesting to note that other post-acute infection syndromes (PAIS) and some neuropsychiatric diseases such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), depression (especially the atypical/immunometabolic subtype (IMD) [86]) and others also have fatigue as a leading clinical symptom, which may serve as a model for investigating the mechanisms of fatigue and drawing conclusions regarding therapeutic options in long COVID

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Gundersen K Article: EUROPEAN JOURNAL OF APPLIED PHYSIOLOGY

Slowing escalation schedules, reducing maintenance doses, or switching between compounded formulations (oral versus injectable) can reduce symptom burden while maintaining therapeutic benefit