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At first, you see small signs of activityworkers clearing debris, laying the groundworkbut the full strength and stability return only after weeks of careful, ongoing work

Figure 11 Autoimmunity Upregulation of autoimmune genes As in other chronic disorders, some genes in ME/CFS patients have been found to be associated with autoimmunity, such as the HLA alleles (30)

doi:10.1016/S0736-0266(03)00110-4

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[4] Based on animal research, it is thought that the increased methylmalonyl-CoA hydrolyzes to form methylmalonate (methylmalonic acid), a neurotoxic dicarboxylic acid, causing neurological deterioration