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https://twitter.com/valebodi/status/1896614322891370664Creatine and purine intermediates were elevated. Transaconitate from the tricarboxylic acid cycle was elevated in ME/CFS along with essential aromatic amino acids, lysine, purine, pyrimidine and microbiome metabolites. Serine is a precursor of phospholipids and sphingomyelins
https://twitter.com/longcovidnl/status/1878019611863470109but we wanted to find out what happened before and after the CPET 🚴♀️ test. What we saw is that the energy factories were not working as well and that the muscles themselves showed abnormalities."