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X 7 Wiley.Com/doi/10.1111/j.1524-4725.1998

Orian-Rousseau, V., Chen, L., Sleeman, J

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The continuous production of ROS forces the body to consume excess host energy just to survive the biochemical onslaught, directly contributing to the systemic, debilitating fatigue that characterizes these conditions

*Corresponding Author: Nasser Mikhail, Endocrinology Division, Department of Medicine2, Olive View-UCLA Medical Center, David-Geffen UCLA Medical School, CA, USA

Initially, it may cause purging, but acne should not worsen over time