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To assess whether the findings could be explained by GLP-1 RA-related weight loss, we conducted a counterfactual analysis in which we set pre-pregnancy BMI to values consistent with a scenario without treatment-related weight reduction and repeated the analyses

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Only through adequate protein intake can we get the amino acids we need for optimal thyroid function, immune support, and gut health

Together, these findings highlight a distinct metabolic signature in ME/CFS, where energy production pathways may fail to respond efficiently to physical exertion, potentially driving exacerbation of symptoms seen in PEM