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Trait fatigue is a symptom associated with many diseases, such as multiple sclerosis, chronic obstructive pulmonary disease (COPD), and rheumatoid arthritis, and is a result of primary disease-related mechanisms as well as secondary mechanisms not directly caused by the disease but associated with it (Behrens et al., 2023)

CXR following intubation shows infiltrate in the right mid zone consistent with aspiration

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The l arginine vs l citrulline safety comparison generally favors l-citrulline for sensitive individuals or those requiring higher amino acid intake levels