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Furthermore, a comprehensive review published in the Journal of Translational Medicine proposed a unifying model for ME/CFS and Long COVID, highlighting how viral infections (like SARS-CoV-2 or Epstein-Barr Virus) trigger a cascade of immune exhaustion, micro-clotting, and severe oxidative stress

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Key hormones to monitor include fasting insulin, TSH, estrogen, testosterone, and cortisol, since weight loss and metabolic shifts can alter reference ranges

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The effect of liraglutide and sitagliptin on oxidative stress in persons with type 2 diabetes