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[DOI] 6.Taraghikhah N, Ashtari S, Asri N, Shahbazkhani B, Al-Dulaimi D, Rostami-Nejad M, et al

Recent investigations into the gut microbiome reveal a concerning prevalence of dysbiosis in ME/CFS patients, characterized by reduced microbial diversity and an imbalance between beneficial and harmful bacteria [1, 10,11,12,13,14]

doi: 10.1007/s00210-009-0399-7 81

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In some cases, doses are adjusted after 4 to 6 weeks based on lab results (especially IGF-1 levels, a marker of GH activity) and how the patient is feeling