2021, p
2.1.2 Chemotherapeutics Chemotherapeutic agents undergo oral and parenteral administration and are carried to various tissues via the bloodstream, partitioning into plasma water, plasma proteins, or cells
Step 3: Support with co-factors
Involved in cellular signaling and regulating calcium levels, CD38 degrades NAD + , using it as a co-substrate for its enzymatic activity 135,136
True recovery requires a multi-system approach that includes aggressive rest, meticulous symptom tracking, pacing to avoid post-exertional malaise, and targeted medical care to address co-occurring conditions like POTS and MCAS
However, more research is needed to fully understand this aspect