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When you exercise or are in a calorie deficit your body starts breaking down fat for energy
Symptoms associated with Fibromyalgia, such as fatigue, exercise intolerance, and myalgia, are common in primary mitochondrial diseases. Source: Scientific Reports Potential Methylene Blue Benefits in Mitochondrial Dysfunction: Cognition, Memory, & More Mitochondrial dysfunction has become an area of growing clinical interest, particularly in patients experiencing issues related to energy metabolism, oxidative stress, or age-related cellular decline

The crushing fatigue, the unpredictable post-exertional crashes, and the disorienting brain fog are not manifestations of anxiety or a lack of willpower

"Carnitine biosynthesis in mammals." Biochemical Journal 361.3 (2002): 417-429.
