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IGF-1 is further thought to mediate the majority of GH's anabolic effects, such as the potential for lean body mass increase
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Treating comorbidities ME/CFS displays an overlap with several autoimmune or immune-mediated diseases that also have chronic fatigue as a main symptom, such as Hashimoto’s thyroiditis (530), fibromyalgia (FM) (532, 554–557), Mast Cell Activation Disorder (532), sleep apnoea (532), IBS (532), secondary depression or anxiety (532), Ehlers-Danlos syndrome (532), and PoTS (532, 558–563)
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