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Muscle Weakness and Aches: By facilitating the removal of toxic acyl-CoA metabolites from muscle tissue and ensuring a steady supply of energy, supplementation can help alleviate the deep muscle aches and weakness frequently reported in ME/CFS and Long COVID
Skeletal muscle signaling pathways, which regulate anabolic and catabolic processes, may also be activated by insulin-like growth factor 1 (IGF-1) [4]

The numerical variables were normally distributed (Kolmogorov-Smirnov test)

doi: 10.1186/s12890-023-02547-9 141 PanXFYangJJShuXOMooreSCPalmerNDGuasch-FerreMet al
