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The concept of postexertional malaise (PEM) with disabling symptom exacerbation after limited exertion that does not respond to rest is a diagnostic criterion for ME/CFS

That said, Elsevier includes this familiar disclaimer on the journals editorial board listing, though it doesnt appear on the retracted article page: All members of the Editorial Board have identified their affiliated institutions or organizations, along with the corresponding country or geographic region

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Compliance with regional regulations such as EU Annex III or US FDA GRAS status