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Basic laboratory evaluation is appropriate for patients with persistent or severe fatigue and should include complete blood count, comprehensive metabolic panel, thyroid-stimulating hormone, ferritin/iron studies, and vitamin B12 and vitamin D levels

Additionally, individual responses to supplements can vary, and it is advisable to consult with a healthcare professional before starting any new supplementation regimen

Hydrogen peroxide can also be reduced by catalase, which is present only in the peroxisomes

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