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(2011) [1] evaluated the implications of BPC157 on tendon-derived fibroblasts isolated from murine Achilles tendon tissue

Together, these findings highlight a distinct metabolic signature in ME/CFS, where energy production pathways may fail to respond efficiently to physical exertion, potentially driving exacerbation of symptoms seen in PEM

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Phase 1: Establish tirzepatide baseline (weeks 1-4) Start tirzepatide alone at 2.5mg weekly

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