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Although the findings are not always consistent, changes in the brainstem have been very common, especially structural changes, mainly a decrease in grey or white matter volume in patients, often pronounced in relation to the symptom burden of fatigue, pain and autonomic symptoms
For already healthy lifters with calories, protein, sleep, and training still inconsistent, it belongs behind the basics

[DOI] [PubMed] [Google Scholar] 56.Rebouche CJ

Amitriptyline (NNT = 3.6): Highly effective, but with more side effects
