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By engaging in NAD(P)H/NAD(P)+ redox cycling, lactate functions as a dynamic redox buffer that modulates cellular responses to oxidative and reductive stress

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Patients who are enrolled in the intensive outpatient program in Pittsburgh will also go over many topics including high risk situations, education of the disease, physical recovery, recovery support, legal system and recovery, holidays and recovery, recovery and mental health, criminal thinking and recovery, character defects/value systems and recovery, relationships and recovery, humor and recovery, and recovery and stress management

Gaab and colleagues systematically assessed (Gaab et al., 2002a) HPA axis reactivity in patients with ME/CFS using three types of stimulation, including Trier Social Stress Test, exercise, and insulin tolerance test