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The GIP receptor may work partly by reducing the nausea associated with pure GLP-1 stimulation, which could allow higher effective dosing

10.1038/nrendo.2013.255 3

This can create a carnitine deficit as your body cannot make enough to keep up with the supply and demand

Consider incorporating more selenium-rich foods, such as Brazil nuts, sardines, and grass-fed beef, into your diet

Vitamin D supplementation may be particularly effective in individuals with hypovitaminosis D

The severity of PEM varies widely, with recovery times ranging from hours to weeks, and it has been shown that in CFS patients who have symptoms of PEM, a physical exercise programme may lead to the worsening of their symptoms (Vink and Vink-Niese, 2020)