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For example, it increases the quantity and functional capacity of regulatory T cells, while inhibiting excessive Th1 and Th2 activation, thereby reducing immune-mediated liver damage [85]

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doi: 10.3390/ijms23052717 Summary Keywords peripheral serotonin, L-carnitine, fatigue, hypothyroidism, chronic fatigue syndrome (CFS), myalgic encephalomyelitis (ME), systemic exertion intolerance disease (SEID), mitochondria Citation Raij T and Raij K (2024) Association between fatigue, peripheral serotonin, and L-carnitine in hypothyroidism and in chronic fatigue syndrome

I was having serious breathing problems and could have had a heart attack with all the extra pounds