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To systematically assess whether metabolic and mitochondrial dysfunction is associated with the pathophysiology of post-exertional malaise 23,24,25,26 , we measured mitochondrial respiration and metabolomic signatures in skeletal muscle before and one day after the induction of post-exertional malaise

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10.1136/bmj.m1184 [DOI] [PMC free article] [PubMed] [Google Scholar] 49.Venuraju SM, Lahiri A, Jeevarethinam A, Cohen M, Darko D, Nair D, et al