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A recent laboratory study suggesting that high rates of oxidative stress can reactivate EBV and that antioxidants (including NAC, catalase, and L-glutathione) might be helpful in reducing EBV reactivation is intriguing given the high rates of oxidative stress found in ME/CFS.Now, in a surprising turn, German researchers have not only put the spotlight back on EBV, but have dug deeper into EBV, ME/CFS, and the associated immune response than any group has before

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It can be single heavy use activity that youve done, like in my case of carrying the very heavy bag, or more commonly its a low-level repetitive overuse, sometimes over many months until the tendon starts becoming painful