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Science 333 , 425 (2011)

Altered immune response to exercise in patients with chronic fatigue syndrome/myalgic encephalomyelitis: a systematic literature review

doi: 10.1016/j.jpag.2014.09.017 152 DianoSKalraSPSakamotoHHorvathTL

The other part is material quality

Macrophage engulfment of lipid debris takes 21 to 28 days, and large areas of subcutaneous tissue (30 to 50ml per session) typically show visible circumference reduction only by the 4th week

However, heterogeneous experimental designs and limited translational data necessitate further standardized and in vivo research to define clinical applications