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Inflammation is associated with increased fatigue because the immune system is constantly activated

Genetic Factors: According to Mineur, Y

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Smoking : Smoking is defined as current daily or occasional use of any smoked tobacco product

As mentioned above, nicotines side effects, cardiovascular risk, addictive potential, and impacts on sleep or metabolic balance remain important considerations, particularly for individuals with existing heart conditions, anxiety, or a history of substance dependence