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It can be hard to tell what is causing what

NNMT is a cytosolic enzyme that is primarily expressed in the liver and catalyzes the transfer of methyl group from the cofactor S-(5-adenosyl)-L-methionine (SAM) to other substrates

For patients with neurological complications, more intensive treatment is required (1 mg on alternate days until no further improvement, followed by 1 mg every 2 months)

Future studies need to include standardised techniques and analyses when doing further research into the virome as it is particularly understudied in ME/CFS (57)

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