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At baseline, both the ME/CFS patients and a healthy control group had similar protein levels for 107 proteins, but after a stress test, the ME/CFS patients showed significant reductions in haptoglobin proteins that werent seen in the control group.[ref] ME/CFS and T cell exhaustion: A 2024 study that analyzed T cell subsets found T cell exhaustion to be common in ME/CFS patients.[ref] Prior research had also shown that CD8+ T cells had metabolic reprogramming indicative of T cell exhaustion.[ref][ref][ref] Related article : T cell exhaustion and checkpoint genes Lactate and pyruvate alterations: Pyruvate and lactate are integral to the mitochondrial processes for ATP production