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If you have a medical disease that affects your breathing, such as pneumonia, asthma, chronic obstructive pulmonary disorder, or respiratory infection, you might need to use a nebulizer

It has also been suggested that in patients with ME/CFS exercise may trigger or aggravate mitochondrial dysfunction leading to increased lactate production, reduced ATP availability in the muscles (Lien et al., 2019), abnormal levels of metabolites (Germain et al., 2022), abnormal redox balance (Paul et al., 2021) and/or nitrosative stress (Morris et al., 2017)

Risks include dimpling, puckering, pain and I have seen loads of referrals for complications

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