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American Journal of Diseases of Children 136: 598601, 1982 Pelligrini G, Scarlato G, Moggio M

It is found in muscle tissue, where it participates in processes essential for energy metabolism

doi: 10.1172/JCI118990 512 Cabral-MarquesOMarquesAGiilLMDe VitoRRademacherJGntherJet al

Kennedy DO, Stevenson EJ, Jackson PA, et al

[ref] Boosting overall mitochondrial function: These interventions have research studies showing efficacy in ME/CFS patients

In addition to the myoglobinuria, two other mechanisms contribute to kidney impairment: low blood pressure leads to constriction of the blood vessels and therefore a relative lack of blood flow to the kidney, and finally, uric acid may form crystals in the tubules of the kidneys, causing obstruction
