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Hormonal changes during perimenopause and menopause also shift metabolic behaviors
A large review (56) noted that three studies estimated the narrow-sense heritability (h 2 ) in large cohorts, and two of these studies reported non-zero results, suggesting a heritability risk for ME/CFS
One of the reasons is that their symptoms appear to be significantly intertwined, causing difficulty in diagnosing a patient with one condition or the other
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