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10.1051/lait:1997325 [DOI] [Google Scholar] Garcia I., Rodgers M., Pepin R., Hsieh T.-F., Matringe M

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The direct relationship between tryptophan levels and depressive symptoms and fatigue has been demonstrated by Trp depletion experiments, as reviewed elsewhere [76], and is also of interest in the context of long-term COVID, as recent studies have shown a significant decrease in plasma Trp levels in PASC patients [48], and alterations in kynurenine pathway metabolites have been associated with cognitive impairment in long COVID patients [27], as well as with anxiety and depressive symptoms in COVID-19 survivors 6 months post-infection [66]

Alteration of the gut microbiome in patients with heart failure: A systematic review and meta-analysis