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PMID: 12973155 Vaccaro

A meta-analysis of 15 randomized controlled trials (RCTs) revealed that CBT effectively relieved fatigue, depression, and anxiety, with long-term improvements and high adherence [162]

Aggressive exercise regimens often worsen symptoms, but maintaining tolerable activities is important to prevent worsening the condition

Furthermore, studies have indicated that fatty livers exhibit upregulated expression of inflammatory mediators such as TNF- (Li et al., 2016)
