Hence, this impaired HSP production (302) combined with oxidative and nitrosative stress, and low-grade inflammation could explain the exercise intolerance and muscle dysfunction seen in ME/CFS patients (303, 304)
If you're combining the two, the protocols that seem to work involve diluting the copper peptide product, using it no more than once weekly after needling, and starting with conservative needle depths (0.5mm, not 1.5mm)
10.3389/fpsyt.2021.810302 Front Psychiatry
Early studies in animals showed that alpha-lipoic acid might also help heal skin damage due to cigarette smoke and promote wound healing
Such a notion of receptor activation was supported by previous mutagenesis studies, which showed that individual mutations of residues F279 6.51 , F312 7.42 , and W276 6.48 in the aromatic cluster significantly lowered the potency of ghrelin in activating GHSR 34,37