Niacin might be able to help restore mitochondrial functioning and help with blood vessels issues in chronic fatigue syndrome, fibromyalgia and long COVID.
Muscle biopsies indicate problems with long-chain fatty acid metabolism may be found in fibromyalgia. A reduced long-chain fatty acid diet plus mitochondrial supplements appear to help.
Studies thus far indicate the long COVID and chronic fatigue syndrome (ME/CFS) may be exhausting the body in similar ways via viral persistence, autoimmunity, circulatory and blood issues and small fiber neuropathy.
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