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Ribas V, Drew BG, Zhou Z et al (2016) Skeletal muscle action of estrogen receptor is critical for the maintenance of mitochondrial function and metabolic homeostasis in females

FMT, Fecal Microbiota Transplantation

It makes B12 a less likely cause and points you toward the next one, often thyroid function, which causes the same kind of washed-out fatigue

Whitmore LC, Weems MN, Allen LH (2017) Cutting edge: Helicobacter pylori induces nuclear hypersegmentation and subtype differentiation of human neutrophils in vitro

Astonishingly, this adaptability is not confined to long-term changes but also encompasses short-term fluctuations in response to daily rhythms, including circadian and diurnal cues [2]

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