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Concurrently, hormonal dysregulation, particularly involving insulin, androgens, and gonadotropins, feeds back into redox instability, creating a vicious cycle of endocrine and metabolic dysfunction (10)

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doi: 10.1186/s13148-022-01398-1 Summary Keywords post-acute infection syndromes, long Covid, ME/CFS, inflammation, stress, dysautonomia, hypothalamus-pituitary-adrenal axis (HPA axis), microbiota-gut-brain axis Citation Trautmann A (2025) Core features and inherent diversity of post-acute infection syndromes