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The complex pathophysiology of ME/CFS As a consequence of infection and other stressors, such as poly-trauma for example (181), a state of acute inflammation and aberrant immune activation may occur

Vitamin E, in particular, is essential for maintaining the integrity of the PUFAs in the sperm membrane, which are highly susceptible to oxidative attack

7 Supplementing with L-carnitine could also play an important role in recovery from strenuous exercise, with suggested doses of 2-4g daily to optimise results