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This rapid accumulation of lactic acid and the resulting drop in cellular pH is a primary driver of post-exertional malaise (PEM), the hallmark symptom of ME/CFS and Long COVID

That There was an exception made to these restrictions in December 2022 when the FDA declared there was a shortage of GLP-1 medications and allowed compounded versions of these drugs to be sold by telehealth providers

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[4] [5] Patients should be aware that there is no official link established between GLP-1 therapy and improvement in rheumatoid arthritis symptoms or disease progression