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Also, during an environmental infection, in addition to fever, other atypical psychological and physical feelings are experienced, which include fatigue, depression, cognitive impairment, anorexia, and muscle or joint pains [25,27]

Foitzik et al

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Evidence suggests that MCAD deficiency results in ineffective mitochondrial oxidative phosphorylation (OXPHOS)

doi: 10.3390/jpm12081335