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Animal Studies All animal studies were approved by the institutional animal care and use committees of Vectura Fertin Pharma Labs (Singapore) and the Mount Sinai Medical Center (Miami) and performed in Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC)-accredited facilities

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(ii) Use of Activity Diaries or Self-Monitoring Tools: Systematic tracking of daily activities, symptoms, and energy levels using activity diaries or self-monitoring tools helps decision-making regarding when to rest and when to engage in activity [173]

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Skin and energy changes, where they occur, tend to build gradually rather than appear overnight