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The potential therapeutic approaches targeting gut health in ME/CFS Considering the common links between ME/CFS and dysbiosis, increased gut permeability, and chronic inflammation [12, 21,22,23,24,25,26,27,28,29,30,31, 40, 41], it is reasonable to hypothesize that strategies focused on restoring microbial equilibrium, enhancing mucosal barrier function, and reducing inflammation could have therapeutic potential

Likewise, Garvey WT, et al

3 A widely used non-radioactive alternative is the C breath test , in which a stable-isotope-labeled substrate (often octanoate or spirulina) is metabolized after it passes into the small intestine, so the rate of labeled CO appearance in the breath reports on emptying