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Melatonin possesses immunomodulatory properties (85) that use circadian regulation to stimulate cytokine production and lymphocyte proliferation and enhance phagocytosis (8590)

Persistent viral antigens or RNA fragments may drive chronic immune responses, sustaining the production of pathogenic antibodies and potentially leading to long COVID [22,23,27,89,90]

If weight loss plateaus after adding lipotropics to an established GLP-1 protocol, the limiting factor is energy balance, not lipid transport capacity