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[DOI] [PMC free article] [PubMed] [Google Scholar] 52.Navarro-Alarcon M., Cabrera-Vique C

Most of the relapses while on immunosuppression are easily treatable with increase in steroids and/or change in immunosuppression

Abnormal levels of tryptophan can therefore negatively impact immune responses, metabolic stress pathways, and brain function, leading to a wide range of symptoms associated with ME/CFS and FM (Gostner et al., 2020)