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One study found that 24% of chronic fatigue patients had DNA from the Epstein-Barr virus in their plasma, in comparison with only 4% of the control group.[ref] Herpes simplex, CMV : Other studies point to a variety of other possible viral triggers for ME/CFS, including herpes simplex or cytomegalovirus, but not all studies agree.[ref] HHV-6: Researchers examined brain and spinal cord postmortem tissue samples from ME/CFS patients

Hepatology (Baltimore, Md.), 65 (1), 363

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These are not immediate effectsmicrobiome shifts take time, typically 48 weeks for measurable changes