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doi: 10.1196/annals.1333.091 41 JuranekJKGeddisMSSongFZhangJGarciaJRosarioRet al

Aquat Toxicol 132-133:200211

However, the relationship between lactic acid levels and ME/CFS is still being investigated, as another study reported reduced lactic acid levels in urine, along with lower pyruvate and alanine (187)