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Shah shalin S, Denham LV, Elison JR, Bhattacharjee PS, Huq T, Clement C, et al

Extensive research into muscle dysfunction in CFS/ME has shown that patients often exhibit a pathological overreliance on this anaerobic metabolism, even during incredibly low-level, everyday exertion

6,7 The aqueous solubility of -CD is lower than that of the linear dextrin, which may be attributed to the strong internal hydrogen binding of the cyclodextrin molecules in its crystal state

This may transform a physiological process into a pathological driver of chronic inflammation and tissue dysfunction, potentially contributing to diseases like endometriosis (Table 1)

Das et al