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Future studies need to include standardised techniques and analyses when doing further research into the virome as it is particularly understudied in ME/CFS (57)

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My approach: When appropriate, I use GLP-1s as ONE component of a complete strategy: Metabolic reset protocols Hormone optimization (critical for women 40+) Mediterranean nutrition principles Behavioral support systems Structured transition planning The goal isn't lifelong medication dependence

If you have already removed gluten for medically necessary reasons, HLA-DQ genetic testing may be a better option