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The main causes of fatigue are: (i) accumulation of protons in the muscle cell, reducing the pH and affecting the activity of enzymes, such as phosphofructokinase, (ii) depletion of energy sources (e.g., phosphocreatine and glycogen) for the continuity of the exercise, (iii) accumulation of ammonia (toxic metabolite) in the blood and tissues [2,3,4], (iv) oxidative stress, (v) muscle damage [1] and (vi) changes in neurotransmitter synthesis, such as the increase in serotonin and the decrease in dopamine [5], which may cause a state of tiredness, sleep, and lethargy during prolonged exercises [33]

IGF2BP3 is an essential N(6)-methyladenosine biotarget for suppressing ferroptosis in lung adenocarcinoma cells

The great news here: even with a genetic predisposition present, we can do something about leaky gut and environmental triggers