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Serum homocysteine levels were measured using the enzyme cycling assay (Roche Diagnostics, Cobas e 801, Switzerland), and serum folate and vitamin B12 levels were analyzed using automated electrochemiluminescence immunoassays (Roche Diagnostics, Cobas 8000, Switzerland)

Their study found that 44.7% of ME/CFS patients had elevated blood lactate at rest which was correlated with increased severity of PEM, although this study did not see a correlation with fatigue severity (Ghali et al., 2019)

Ludolph A, Dupuis L, Kasarskis E, Steyn F, Ngo S, McDermott C

Most clients maintain their results with regular sessions tailored to their wellness goals