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If fatigue persists despite these interventions, or if it is accompanied by other concerning symptoms, further medical evaluation is warranted to exclude alternative diagnoses
Peptide therapy should only be used under medical supervision
Biochim Biophys Acta (BBA) Mol Basis Dis 1740(2):101107 Stenvinkel P, Ketteler M, Johnson RJ, Lindholm B, Pecoits-Filho R, Riella M, Heimbrger O, Cederholm T, Girndt M (2005) IL-10, IL-6, and TNF-: central factors in the altered cytokine network of uremiathe good, the bad, and the ugly
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