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It is particularly important to disclose any concomitant insulin or sulfonylurea therapy due to increased hypoglycemia risk, and any history of bovine insulin use (which is an indefinite deferral criterion in the US)

It may shield the liver from injury due to toxins like alcohol and certain medications

It's important to watch this closely and take steps to keep bones healthy and prevent breaks

In addition to these general metabolic changes linking impaired energy production to fatigue as a common symptom between long COVID, ME/CFS and MDD, common differences in specific metabolites may also be of importance