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Mukherjee A, Malik H, Saha AP, Dubey A, Singhal DK, Boateng S, Saugandhika S,Kumar S, De S, Guha SK, Malakar D

It is also not yet known whether such dysbiosis leads to ME/CFS, or whether it is a consequence of the metabolic and immunologic changes that occur in the disease (201)

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The metabolomic analysis revealed that the primary significantly enriched metabolic pathways in both the PD and normal control (NC) groups included glucose signaling, central carbon metabolism, the tricarboxylic acid (TCA) cycle, glycolysis, choline metabolism, and fatty acid metabolism