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They both cause a burning or gnawing sensation that may be worse at night and lead to nausea

When your body's cellular engines are struggling to produce basic energy, pushing through the fatigue is not only ineffectiveit can be actively harmful

doi: 10.3389/fmicb.2025.1651965 Received 22 June 2025 Accepted 25 September 2025 Published 17 October 2025 Volume 16 - 2025 Edited by Joo Miguel Rocha, Laboratory of Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, Portugal Reviewed by Kimon Andreas Karatzas, University of Reading, United Kingdom Abdul Bari Shah, Al-Farabi Kazakh National University, Kazakhstan Updates Copyright 2025 Kezer, Paramithiotis, Khwaldia, Harahap, agalj, imat, Smaoui, Elfalleh, Ozogul and Esatbeyoglu

Also, the number of participants was very small