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Pharmacologic therapies have been used successfully by ME/CFS specialists but may be underused by the general medical field

Specifically, as insulin resistance decreases, so do levels of inflammatory markers such as C-reactive protein (CRP), which is often elevated in women with endometriosis

NAM metabolites such as MeNAM and N -methyl-2-pyridone-5-carboxamide (Me2PY) are also produced, potentially contributing to distinct metabolic effects

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