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Nevertheless, the majority remains unchanged, becomes incorporated into chylomicrons, and is transported through the lymphatic system (Kulawik et al
Proc Natl Acad Sci USA 119(13)e2116506119
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Their study found that 44.7% of ME/CFS patients had elevated blood lactate at rest which was correlated with increased severity of PEM, although this study did not see a correlation with fatigue severity (Ghali et al., 2019)
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