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Fatigue and weakness: Feeling tired and lacking energy after adequate rest

A 2023 meta-analysis of these trials concluded that probiotics (usually multi-strain combinations of Lactobacillus and Bifidobacterium ) led to a significant reduction in pro-inflammatory cytokines (like TNF- and IL-6) and a slight improvement in patients Expanded Disability Status Scale (EDSS) scores [201]

Next Steps Assess thyroid antibodies: Request a comprehensive thyroid panel including TPO and TgAb antibodies to identify immune activity against thyroid tissue

Alcohol metabolism contributes to brain histone acetylation

10.1155/2013/729349 40 De MattosB