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A 2023 review in Frontiers in Physiology noted that mitochondrial-derived peptides like MOTS-c represent a functionally separate class from growth-hormone-axis compounds such as Tesamorelin underscoring why comparison, rather than substitution, is the right framework for evaluating them
However, it can also be the result of low B6, low folate, renal failure, or hypothyroidism
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In addition to physical exertion, fatigue can be brought on by conditions like arthritis, anemia, fibromyalgia, chronic fatigue syndrome, colds, flu, eating disorders, sleeping problems, autoimmune disorders, and diabetes
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