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In a randomized clinical trial, the antioxidant astaxanthin, in combination with collagen peptides, improved facial skin elasticity and hydration and reduced matrix metalloproteinase expression while increasing endogenous collagen expression 54 , suggesting enhanced collagen homeostasis

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Diagnosis is based on clinical presentation and laboratory studies and confirmed on the basis of muscle biopsy Muscle Biopsy Trichinella/Trichinellosis

Another major confound is the common perspective within psychosocial psychiatry to consider ME/CFS as a condition triggered by excessive rest in predisposed individuals following acute triggers [17]