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doi: 10.1016/j.atherosclerosis.2007.05.012

Decreased levels of carnosine seen in our study in both ME/CFS and long COVID may contribute to patients experience of muscle fatigue, which has been previously associated with acidosis [79]

Yes, there are options for longer-term maintenance if that's suitable for you

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NEVER prefill syringes from brand-name pre-filled pens as these are single-use devices designed for direct injection and transferring medication from these pens into syringes compromises sterility, dosing accuracy, and medication integrity