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Immunological consequences of immune reconstitution therapy in multiple sclerosis: a systematic review

A pilot study of acupuncture in treating bortezomib-induced peripheral neuropathy in patients with multiple myeloma

H.ChengQ

This severe metabolic inflexibility directly contributes to the debilitating phenomenon of post-exertional malaise (PEM), where patients experience a massive, multi-day crash in symptoms following minor physical or cognitive exertion, effectively trapping them in a cycle of energy debt