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(2021) have developed a validated questionnaire for subjective PEM assessment (Jason et al., 2021) which has been translated into multiple languages

But reactions do happen, and recognizing them early prevents unnecessary skin damage

Elevated serum levels of C-reactive protein are associated with mania symptoms in outpatients with bipolar disorder

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This astrocyteneuron lactate shuttle (ANLS), initially hypothesized by Pellerin and Magistretti, holds that BBB cells take up blood glucose via astrocytic/endothelial GLUT1 transport, allowing cerebral lactate buffering by astrocytic glycogen stores [56]

This is why working with a qualified provider using reputable sources is essential