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Description
Elevated HPHPA, a Clostridia metabolite measured on OAT, has been associated with altered dopamine-to-norepinephrine conversion and may be relevant in neurocognitive symptom presentations (Shaw, 2010)
Long COVID is triggered exclusively by SARS-CoV-2 virus, while ME/CFS has been related to a number of viruses, most commonly EBV but also other viral infections, such as Ross River virus or other herpes viruses [5]

A combination of neurotrophic agents containing ALA (BETTERAL ) was administered to a subgroup of 312 patients

doi: 10.1016/S0736-0266(01)00031-6 68 CroweLANMcLeanMKitsonSMMelchorEGPatommelKCaoHMet al

Prensky AL, Raff MC, Moore MJ et al

The trophozoites are said to be the only infective form
