{"id":11460,"date":"2024-04-26T10:28:42","date_gmt":"2024-04-26T13:28:42","guid":{"rendered":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/?p=11460"},"modified":"2025-12-17T08:04:49","modified_gmt":"2025-12-17T11:04:49","slug":"fadiga-cronica-novidades","status":"publish","type":"post","link":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/","title":{"rendered":"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino"},"content":{"rendered":"\r\n\r\n\r\n\r\n\r\n<h1 class=\"wp-block-heading\" data-start=\"411\" data-end=\"479\">______________________________________<\/h1>\r\n<h1><strong data-start=\"413\" data-end=\"479\">S\u00edndrome da Fadiga Cr\u00f4nica: Novas Descobertas do Estudo do NIH<\/strong><\/h1>\r\n<h2 data-start=\"481\" data-end=\"536\"><span style=\"color: #0000ff;\"><strong data-start=\"484\" data-end=\"534\">O que \u00e9 a S\u00edndrome da Fadiga Cr\u00f4nica (EM\/SFC)?<\/strong><\/span><\/h2>\r\n<p data-start=\"537\" data-end=\"697\">A encefalomielite mi\u00e1lgica, tamb\u00e9m chamada de <strong>S\u00edndrome da Fadiga Cr\u00f4nica<\/strong>, \u00e9 caracterizada por cansa\u00e7o extremo que n\u00e3o melhora com descanso e piora ap\u00f3s esfor\u00e7o.<\/p>\r\n<h2 data-start=\"699\" data-end=\"742\"><span style=\"color: #0000ff;\"><strong data-start=\"702\" data-end=\"740\">Como foi conduzido o estudo do NIH:<\/strong><\/span><\/h2>\r\n<p data-start=\"743\" data-end=\"893\">Entre 2016 e 2020, o NIH avaliou 217 pacientes. Apenas 17 atenderam a crit\u00e9rios rigorosos e passaram por testes m\u00e9dicos, neurol\u00f3gicos e laboratoriais.<\/p>\r\n<h2 data-start=\"895\" data-end=\"946\"><span style=\"color: #0000ff;\"><strong data-start=\"898\" data-end=\"944\">Principais altera\u00e7\u00f5es encontradas no corpo:<\/strong><\/span><\/h2>\r\n<h3 data-start=\"948\" data-end=\"996\"><strong data-start=\"952\" data-end=\"994\">1. Disfun\u00e7\u00e3o auton\u00f4mica cardiovascular<\/strong><\/h3>\r\n<ul data-start=\"997\" data-end=\"1136\">\r\n<li data-start=\"997\" data-end=\"1067\">\r\n<p data-start=\"999\" data-end=\"1067\">Frequ\u00eancia card\u00edaca mais alta durante o dia e menor queda \u00e0 noite.<\/p>\r\n<\/li>\r\n<li data-start=\"1068\" data-end=\"1136\">\r\n<p data-start=\"1070\" data-end=\"1136\">Altera\u00e7\u00e3o no <strong class=\"Yjhzub\">barorreflexo : <\/strong><mark class=\"HxTRcb\">mecanismo neural r\u00e1pido e autom\u00e1tico que regula a PRESS\u00c3O ARETERIAL <\/mark>atrav\u00e9s de sensores (barorreceptores) na art\u00e9ria aorta\u00a0 e carot\u00eddal. Altera\u00e7oes neste reflexo\u00a0 causam queda de press\u00e3o ou at\u00e9 desmaio\u00a0 ao se levantar subitamente ( hipotens\u00e3o ortost\u00e1tica)<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"1138\" data-end=\"1186\"><strong data-start=\"1142\" data-end=\"1184\">2. Conex\u00e3o c\u00e9rebro-m\u00fasculo prejudicada<\/strong><\/h3>\r\n<ul data-start=\"1187\" data-end=\"1325\">\r\n<li data-start=\"1187\" data-end=\"1248\">\r\n<p data-start=\"1189\" data-end=\"1248\">Dificuldade em manter for\u00e7a muscular por longos per\u00edodos.<\/p>\r\n<\/li>\r\n<li data-start=\"1249\" data-end=\"1325\">\r\n<p data-start=\"1251\" data-end=\"1325\">Altera\u00e7\u00f5es no c\u00f3rtex motor indicam controle neuromuscular menos eficiente.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"1327\" data-end=\"1368\"><strong data-start=\"1331\" data-end=\"1366\">3. Redu\u00e7\u00e3o no desempenho f\u00edsico<\/strong><\/h3>\r\n<ul data-start=\"1369\" data-end=\"1483\">\r\n<li data-start=\"1369\" data-end=\"1436\">\r\n<p data-start=\"1371\" data-end=\"1436\">Menor pot\u00eancia e consumo de oxig\u00eanio, mesmo com esfor\u00e7o m\u00e1ximo.<\/p>\r\n<\/li>\r\n<li data-start=\"1437\" data-end=\"1483\">\r\n<p data-start=\"1439\" data-end=\"1483\">Fadiga aparece mais cedo durante exerc\u00edcios.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"1485\" data-end=\"1531\"><strong data-start=\"1489\" data-end=\"1529\">4. Altera\u00e7\u00f5es nos neurotransmissores<\/strong><\/h3>\r\n<ul data-start=\"1532\" data-end=\"1621\">\r\n<li data-start=\"1532\" data-end=\"1621\">\r\n<p data-start=\"1534\" data-end=\"1621\">Redu\u00e7\u00e3o de subst\u00e2ncias relacionadas \u00e0 dopamina e serotonina, especialmente em mulheres.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"1623\" data-end=\"1667\"><strong data-start=\"1627\" data-end=\"1665\">5. Diferen\u00e7as na gen\u00e9tica muscular<\/strong><\/h3>\r\n<ul data-start=\"1668\" data-end=\"1741\">\r\n<li data-start=\"1668\" data-end=\"1741\">\r\n<p data-start=\"1670\" data-end=\"1741\">Altera\u00e7\u00f5es distintas no metabolismo energ\u00e9tico entre homens e mulheres.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"1743\" data-end=\"1789\"><strong data-start=\"1747\" data-end=\"1787\">6. Altera\u00e7\u00f5es no sistema imunol\u00f3gico<\/strong><\/h3>\r\n<ul data-start=\"1790\" data-end=\"1849\">\r\n<li data-start=\"1790\" data-end=\"1849\">\r\n<p data-start=\"1792\" data-end=\"1849\">Sinais de exaust\u00e3o de c\u00e9lulas T e mudan\u00e7as nas c\u00e9lulas B.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"1851\" data-end=\"1902\"><strong data-start=\"1855\" data-end=\"1900\">7. Desequil\u00edbrio da microbiota intestinal<\/strong><\/h3>\r\n<ul data-start=\"1903\" data-end=\"1974\">\r\n<li data-start=\"1903\" data-end=\"1974\">\r\n<p data-start=\"1905\" data-end=\"1974\">Menor diversidade e mudan\u00e7as na composi\u00e7\u00e3o das bact\u00e9rias intestinais.<\/p>\r\n<\/li>\r\n<\/ul>\r\n<h2 data-start=\"1976\" data-end=\"2009\"><span style=\"color: #0000ff;\"><strong data-start=\"1979\" data-end=\"2007\">O que o estudo descartou?<\/strong><\/span><\/h2>\r\n<p data-start=\"2010\" data-end=\"2161\">N\u00e3o foram encontradas evid\u00eancias de inflama\u00e7\u00e3o cerebral, intoxica\u00e7\u00e3o por metais pesados, autoimunidade ou problemas mitocondriais como causa principal.<\/p>\r\n<h2><strong><span style=\"color: #0000ff;\">Crit\u00e9rios para S\u00edndrome da Fadiga Cr\u00f4nica:<\/span><\/strong><\/h2>\r\n<table>\r\n<thead>\r\n<tr>\r\n<th><strong>Categoria<\/strong><\/th>\r\n<th><strong>Exig\u00eancia<\/strong><\/th>\r\n<th><strong>Sintomas<\/strong><\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td><strong>Exaust\u00e3o Neuroimune P\u00f3s-Esfor\u00e7o (PENE)<\/strong><\/td>\r\n<td><strong>Obrigat\u00f3rio<\/strong><\/td>\r\n<td>&#8211; Fadiga f\u00edsica e\/ou cognitiva acentuada e r\u00e1pida ap\u00f3s esfor\u00e7o.- Exacerba\u00e7\u00e3o de sintomas como sensa\u00e7\u00e3o gripal, dor e piora de outros sintomas.- Pode ocorrer imediatamente ou ap\u00f3s atraso, durando dias, semanas ou mais.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Defici\u00eancias Neurol\u00f3gicas<\/strong><\/td>\r\n<td><strong>1 ou mais sintomas de 3 de 4 categorias<\/strong><\/td>\r\n<td>\r\n<p>1) <strong>Defici\u00eancias neurocognitivas<\/strong>: pensamento lento, concentra\u00e7\u00e3o prejudicada, problemas de mem\u00f3ria, fala lenta, dislexia por esfor\u00e7o.<\/p>\r\n<p>2) <strong>Dor<\/strong>: dores de cabe\u00e7a cr\u00f4nicas com tens\u00e3o muscular<\/p>\r\n<p>.3) <strong>Dist\u00farbios do sono<\/strong>: ins\u00f4nia, sono n\u00e3o reparador.<\/p>\r\n<p>4) <strong>Problemas motores<\/strong>: fraqueza.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Defici\u00eancias Imunol\u00f3gicas, Gastrointestinais e Geniturin\u00e1rias (GU)<\/strong><\/td>\r\n<td><strong>1 ou mais sintomas de 3 de 5 categorias<\/strong><\/td>\r\n<td>\r\n<p>1) Sintomas semelhantes \u00e0 gripe<\/p>\r\n<p>.2) Suscetibilidade a infec\u00e7\u00f5es virais.<\/p>\r\n<p>3) <strong>Gastrointestinais<\/strong>: n\u00e1useas, incha\u00e7o, s\u00edndrome do intestino irrit\u00e1vel.<\/p>\r\n<p>4) <strong>Geniturin\u00e1rios<\/strong>: urg\u00eancia urin\u00e1ria, noct\u00faria<\/p>\r\n<p>5) Sensibilidade a alimentos, odores ou produtos qu\u00edmicos.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Defici\u00eancias na Produ\u00e7\u00e3o\/Transporte de Energia<\/strong><\/td>\r\n<td><strong>1 ou mais sintomas<\/strong><\/td>\r\n<td>\r\n<p>1) <strong>Cardiovascular<\/strong>: intoler\u00e2ncia ortost\u00e1tica, palpita\u00e7\u00f5es, vertigem.<\/p>\r\n<p>2) <strong>Respirat\u00f3rio<\/strong>: respira\u00e7\u00e3o dif\u00edcil, falta de ar, cansa\u00e7o dos m\u00fasculos tor\u00e1cicos.3) Perda de estabilidade t\u00e9rmica.4) Intoler\u00e2ncia a temperaturas extremas.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<p data-start=\"2010\" data-end=\"2161\">_____________________________________________________________________________<\/p>\r\n<h2 data-start=\"2010\" data-end=\"2161\"><strong><span style=\"color: #0000ff;\">Abordagens Terap\u00eauticas :<\/span><\/strong><\/h2>\r\n<table>\r\n<thead>\r\n<tr>\r\n<th><strong>Classe de Medicamento<\/strong><\/th>\r\n<th><strong>Exemplos<\/strong><\/th>\r\n<th><strong>Para que serve<\/strong><\/th>\r\n<\/tr>\r\n<\/thead>\r\n<tbody>\r\n<tr>\r\n<td><strong>Anti-inflamat\u00f3rios (AINEs)<\/strong><\/td>\r\n<td>Ibuprofeno, Naproxeno<\/td>\r\n<td>Ajudam a aliviar dores musculares, articulares, dores de cabe\u00e7a e febre, al\u00e9m de reduzir inflama\u00e7\u00e3o.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Anticonvulsivantes<\/strong><\/td>\r\n<td>Gabapentina, Pregabalina<\/td>\r\n<td>Usados para dores nos nervos e tamb\u00e9m para melhorar o sono em alguns casos.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Antidepressivos<\/strong><\/td>\r\n<td>&#8211; ISRS: fluoxetina, sertralina, paroxetina &#8211; Tric\u00edclicos: amitriptilina, doxepina, desipramina, nortriptilina, clomipramina, imipramina<\/td>\r\n<td>\r\n<p>Podem ajudar em dor cr\u00f4nica, fibromialgia, ansiedade e depress\u00e3o.<\/p>\r\n<p>Tric\u00edclicos melhoram o sono e reduzem dor, mas podem levar 3 a 4 semanas para fazer efeito.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Narc\u00f3ticos (Opioides)<\/strong><\/td>\r\n<td>Tramadol, Code\u00edna, Morfina<\/td>\r\n<td>\r\n<p>Usados apenas em dores muito fortes que n\u00e3o melhoram com outros rem\u00e9dios.<\/p>\r\n<p>Devem ser prescritos por pouco tempo devido ao risco de depend\u00eancia.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Antivirais e Imunomoduladores<\/strong><\/td>\r\n<td>Ritatolimod (Ampligen), Aciclovir, Valganciclovir<\/td>\r\n<td>Podem ajudar em casos relacionados a infec\u00e7\u00f5es virais. T\u00eam efeitos colaterais poss\u00edveis, como risco para os rins.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Interferons<\/strong><\/td>\r\n<td>\u2014<\/td>\r\n<td>Uso ainda incerto, pois faltam estudos de qualidade para confirmar benef\u00edcios no SFC\/EM.<\/td>\r\n<\/tr>\r\n<tr>\r\n<td><strong>Esteroides<\/strong><\/td>\r\n<td>Hidrocortisona, Fludrocortisona, Combina\u00e7\u00e3o dos dois<\/td>\r\n<td>\r\n<p>Pesquisados para aliviar sintomas.<\/p>\r\n<p>Alguns estudos mostraram resultados variados e seu uso ainda \u00e9 avaliado.<\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h5 data-start=\"2163\" data-end=\"2181\">Refer\u00eancia da imagem:<\/h5>\r\n<h5 data-start=\"2163\" data-end=\"2181\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5301046\/\">Ref:\u00a0 https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5301046\/<\/a><\/h5>\r\n<p>&nbsp;<\/p>\r\n<p>___________________________________________________________________<\/p>\r\n<h2><span style=\"color: #0000ff;\"><strong data-start=\"124\" data-end=\"209\">L-Carnitina: o amino\u00e1cido que ajuda na energia, no c\u00e9rebro e na redu\u00e7\u00e3o da fadiga:<\/strong><\/span><\/h2>\r\n<p data-start=\"213\" data-end=\"479\">A <strong data-start=\"215\" data-end=\"230\">L-carnitina<\/strong> \u00e9 um amino\u00e1cido essencial para o transporte de <strong data-start=\"278\" data-end=\"290\">gorduras<\/strong> at\u00e9 as mitoc\u00f4ndrias \u2014 as \u201cusinas de energia\u201d das c\u00e9lulas.<\/p>\r\n<p data-start=\"213\" data-end=\"479\">Esse processo \u00e9 fundamental para que m\u00fasculos e c\u00e9rebro usem a gordura como combust\u00edvel, favorecendo desempenho f\u00edsico e mental.<\/p>\r\n<h3 data-start=\"481\" data-end=\"635\"><span style=\"color: #0000ff;\"><strong data-start=\"484\" data-end=\"510\">O que dizem os estudos?<\/strong><\/span><\/h3>\r\n<p data-start=\"481\" data-end=\"635\"><br data-start=\"510\" data-end=\"513\" \/>Pesquisas apontam que suplementar L-carnitina ou sua forma <strong data-start=\"572\" data-end=\"594\">acetil-L-carnitina<\/strong> pode trazer benef\u00edcios significativos:<\/p>\r\n<ul data-start=\"636\" data-end=\"962\">\r\n<li data-start=\"636\" data-end=\"721\">\r\n<p data-start=\"638\" data-end=\"721\">Uma revis\u00e3o cient\u00edfica de 2006 j\u00e1 indicava efeitos positivos no combate \u00e0 fadiga.<\/p>\r\n<\/li>\r\n<li data-start=\"722\" data-end=\"962\">\r\n<p data-start=\"724\" data-end=\"852\">Em 2008, um estudo com <strong data-start=\"747\" data-end=\"760\">96 idosos<\/strong> com <strong data-start=\"765\" data-end=\"795\">S\u00edndrome da Fadiga Cr\u00f4nica<\/strong> mostrou que, ap\u00f3s <strong data-start=\"814\" data-end=\"825\">6 meses<\/strong> de suplementa\u00e7\u00e3o, houve:<\/p>\r\n<ul data-start=\"855\" data-end=\"962\">\r\n<li data-start=\"855\" data-end=\"887\">\r\n<p data-start=\"857\" data-end=\"887\">Menos fadiga f\u00edsica e mental<\/p>\r\n<\/li>\r\n<li data-start=\"890\" data-end=\"927\">\r\n<p data-start=\"892\" data-end=\"927\">Melhora da mem\u00f3ria e concentra\u00e7\u00e3o<\/p>\r\n<\/li>\r\n<li data-start=\"930\" data-end=\"962\">\r\n<p data-start=\"932\" data-end=\"962\">Aumento da capacidade f\u00edsica<\/p>\r\n<\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<h3 data-start=\"964\" data-end=\"1164\"><span style=\"color: #0000ff;\"><strong data-start=\"967\" data-end=\"981\">Conclus\u00e3o:<\/strong><\/span><\/h3>\r\n<p data-start=\"964\" data-end=\"1164\">A L-carnitina pode ajudar na energia, sa\u00fade cerebral e disposi\u00e7\u00e3o.<\/p>\r\n<p data-start=\"964\" data-end=\"1164\">No entanto, a suplementa\u00e7\u00e3o deve ser orientada por um m\u00e9dico ou nutricionista para garantir seguran\u00e7a e efic\u00e1cia.<\/p>\r\n<p data-start=\"964\" data-end=\"1164\">Doses\u00a0 variam entre 500 a 2000mg\/ dia\u00a0 pela via oral e 500mg em pela\u00a0 via injet\u00e1vel<\/p>\r\n<p>&nbsp;<\/p>\r\n<p>____________________________________________________________________<\/p>\r\n<h2><span style=\"color: #0000ff;\"><strong data-start=\"2166\" data-end=\"2179\">Conclus\u00e3o do Artigo:<\/strong><\/span><\/h2>\r\n<p data-start=\"2182\" data-end=\"2348\">A pesquisa do NIH mostra que a S\u00edndrome da Fadiga Cr\u00f4nica envolve m\u00faltiplos sistemas do corpo.<\/p>\r\n<p data-start=\"2182\" data-end=\"2348\">Esses achados podem guiar futuros tratamentos e melhorar o diagn\u00f3stico.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"902\" class=\"wp-image-11466\" src=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-image-1024x902.jpg\" alt=\"\" srcset=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-image-1024x902.jpg 1024w, https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-image-300x264.jpg 300w, https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-image-768x677.jpg 768w, https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-image.jpg 1100w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\r\n\r\n\r\n\r\n<h3>____________________________________________________________________<\/h3>\r\n<h2><strong><span style=\"color: #0000ff;\">VOC\u00ca TAMB\u00c9M PODE GOSTAR LER:\u00a0\u00a0<\/span><\/strong><\/h2>\r\n<p><blockquote class=\"wp-embedded-content\" data-secret=\"Rz3Tb1LPpY\"><a href=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/disfuncao-no-eixo-hipotalamo-pituitario-adrenal-e-fadiga-cronica\/\">Fadiga Cr\u00f4nica e Disfun\u00e7\u00e3o no Eixo Hipot\u00e1lamo-Hipofis\u00e1rio-Adrenal<\/a><\/blockquote><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;Fadiga Cr\u00f4nica e Disfun\u00e7\u00e3o no Eixo Hipot\u00e1lamo-Hipofis\u00e1rio-Adrenal&#8221; &#8212; Dr. Roberto Franco do Amaral Neto\" src=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/disfuncao-no-eixo-hipotalamo-pituitario-adrenal-e-fadiga-cronica\/embed\/#?secret=glIRHxZPxY#?secret=Rz3Tb1LPpY\" data-secret=\"Rz3Tb1LPpY\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\r\n<p>____________________________________________________________________________<\/p>\r\n<h3 data-start=\"216\" data-end=\"246\"><strong data-start=\"219\" data-end=\"246\">Refer\u00eancias :<\/strong><\/h3>\r\n<ol data-start=\"248\" data-end=\"1409\">\r\n<li data-start=\"248\" data-end=\"499\">\r\n<p data-start=\"251\" data-end=\"499\"><strong data-start=\"251\" data-end=\"267\">Compston ND.<\/strong><br data-start=\"267\" data-end=\"270\" \/>An outbreak of encephalomyelitis in the Royal Free Hospital Group, London, in 1955.<br data-start=\"356\" data-end=\"359\" \/><em data-start=\"362\" data-end=\"379\">Postgrad Med J.<\/em> 1978;54(637):722\u2013724.<br data-start=\"401\" data-end=\"404\" \/>doi: <strong data-start=\"412\" data-end=\"439\">10.1136\/pgmj.54.637.722<\/strong><br data-start=\"439\" data-end=\"442\" \/>Dispon\u00edvel em: <a class=\"decorated-link cursor-pointer\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/746018\/\" target=\"_new\" rel=\"noopener\" data-start=\"460\" data-end=\"499\">https:\/\/pubmed.ncbi.nlm.nih.gov\/746018\/<\/a><\/p>\r\n<\/li>\r\n<li data-start=\"501\" data-end=\"786\">\r\n<p data-start=\"504\" data-end=\"786\"><strong data-start=\"504\" data-end=\"546\">Walitt B, Singh K, LaMunion SR, et al.<\/strong><br data-start=\"546\" data-end=\"549\" \/>Deep phenotyping of post-infectious myalgic encephalomyelitis\/chronic fatigue syndrome.<br data-start=\"639\" data-end=\"642\" \/><em data-start=\"645\" data-end=\"669\">Nature Communications.<\/em> 2024;15:907.<br data-start=\"682\" data-end=\"685\" \/>doi: <strong data-start=\"693\" data-end=\"723\">10.1038\/s41467-024-45107-3<\/strong><br data-start=\"723\" data-end=\"726\" \/>Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/doi.org\/10.1038\/s41467-024-45107-3\" target=\"_new\" rel=\"noopener\" data-start=\"744\" data-end=\"786\">https:\/\/doi.org\/10.1038\/s41467-024-45107-3<\/a><\/p>\r\n<\/li>\r\n<li data-start=\"788\" data-end=\"1098\">\r\n<p data-start=\"791\" data-end=\"1098\"><strong data-start=\"791\" data-end=\"851\">Brurberg KG, Fonhus MS, Larun L, Flottorp S, Malterud K.<\/strong><br data-start=\"851\" data-end=\"854\" \/>Case definitions for chronic fatigue syndrome\/myalgic encephalomyelitis (CFS\/ME): a systematic review.<br data-start=\"959\" data-end=\"962\" \/><em data-start=\"965\" data-end=\"976\">BMJ Open.<\/em> 2014;4:e003973.<br data-start=\"992\" data-end=\"995\" data-is-only-node=\"\" \/>doi: <strong data-start=\"1003\" data-end=\"1034\">10.1136\/bmjopen-2013-003973<\/strong><br data-start=\"1034\" data-end=\"1037\" \/>Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/bmjopen.bmj.com\/content\/4\/2\/e003973\" target=\"_new\" rel=\"noopener\" data-start=\"1055\" data-end=\"1098\">https:\/\/bmjopen.bmj.com\/content\/4\/2\/e003973<\/a><\/p>\r\n<\/li>\r\n<li data-start=\"1100\" data-end=\"1409\">\r\n<p data-start=\"1103\" data-end=\"1409\"><strong data-start=\"1103\" data-end=\"1162\">Castro-Marrero J, S\u00e1ez-Franc\u00e0s N, Santillo D, Alegre J.<\/strong><br data-start=\"1162\" data-end=\"1165\" \/>Treatment and management of chronic fatigue syndrome\/myalgic encephalomyelitis: all roads lead to Rome.<br data-start=\"1271\" data-end=\"1274\" \/><em data-start=\"1277\" data-end=\"1294\">Br J Pharmacol.<\/em> 2017;174(5):345\u2013369.<br data-start=\"1315\" data-end=\"1318\" \/>doi: <strong data-start=\"1326\" data-end=\"1347\">10.1111\/bph.13702<\/strong><br data-start=\"1347\" data-end=\"1350\" \/>Dispon\u00edvel em: <a class=\"decorated-link\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28052319\/\" target=\"_new\" rel=\"noopener\" data-start=\"1368\" data-end=\"1409\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28052319\/.<\/a><\/p>\r\n<\/li>\r\n<li data-start=\"1100\" data-end=\"1409\"><strong>Malaguarnera M, Di Mauro A, Gargante PM, Rampello L.\u00a0 <\/strong>L-carnitine reduces severity of physical and mental fatigue and improves daily activities in the elderly. South Med J. 2006 Mar;99(3):315-6. d<a href=\"http:\/\/10.1097\/01.smj.0000203331.26947.47\">oi: 10.1097\/01.smj.0000203331.26947.47. PMID: 16553112.<\/a><\/li>\r\n<li data-start=\"1100\" data-end=\"1409\"><strong>Malaguarnera M, Gargante MP, Cristaldi E, Colonna V, Messano M, Koverech A, Neri S, Vacante M, Cammalleri L, Motta M<\/strong>. Acetyl L-carnitine (ALC) treatment in elderly patients with fatigue. Arch Gerontol Geriatr. 2008 Mar-Apr;46(2):181-90. <a href=\"http:\/\/10.1016\/j.archger.2007.03.012\">doi: 10.1016\/j.archger.2007.03.012.<\/a> Epub 2007 Jul 20. PMID: 17658628.<\/li>\r\n<li data-start=\"1100\" data-end=\"1409\"><strong>Malaguarnera M, Cammalleri L, Gargante MP, Vacante M, Colonna V, Motta M.<\/strong> L-Carnitine treatment reduces severity of physical and mental fatigue and increases cognitive functions in centenarians: a randomized and controlled clinical trial. Am J Clin Nutr. 2007 Dec;86(6):1738-44. <a href=\"http:\/\/10.1093\/ajcn\/86.5.1738\">doi: 10.1093\/ajcn\/86.5.1738<\/a>. PMID: 18065594.<\/li>\r\n<\/ol>\r\n","protected":false},"excerpt":{"rendered":"<p>______________________________________ S\u00edndrome da Fadiga Cr\u00f4nica: Novas Descobertas do Estudo do NIH O que \u00e9 a S\u00edndrome da Fadiga Cr\u00f4nica (EM\/SFC)? A encefalomielite mi\u00e1lgica, tamb\u00e9m chamada de S\u00edndrome da Fadiga Cr\u00f4nica, \u00e9 caracterizada por cansa\u00e7o extremo que n\u00e3o melhora com descanso e piora ap\u00f3s esfor\u00e7o. Como foi conduzido o estudo do NIH: Entre 2016 e 2020, [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11461,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[784,661],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino - Dr. Roberto Franco do Amaral Neto<\/title>\n<meta name=\"description\" content=\"Estudo do NIH revela como a S\u00edndrome da Fadiga Cr\u00f4nica afeta o corpo: sintomas, altera\u00e7\u00f5es no cora\u00e7\u00e3o, c\u00e9rebro, m\u00fasculos e microbiota\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino - Dr. Roberto Franco do Amaral Neto\" \/>\n<meta property=\"og:description\" content=\"Estudo do NIH revela como a S\u00edndrome da Fadiga Cr\u00f4nica afeta o corpo: sintomas, altera\u00e7\u00f5es no cora\u00e7\u00e3o, c\u00e9rebro, m\u00fasculos e microbiota\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr. Roberto Franco do Amaral Neto\" \/>\n<meta property=\"article:published_time\" content=\"2024-04-26T13:28:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-12-17T11:04:49+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"720\" \/>\n\t<meta property=\"og:image:height\" content=\"628\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Dr. Roberto Franco do Amaral Neto\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. Roberto Franco do Amaral Neto\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/\"},\"author\":{\"name\":\"Dr. Roberto Franco do Amaral Neto\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6\"},\"headline\":\"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino\",\"datePublished\":\"2024-04-26T13:28:42+00:00\",\"dateModified\":\"2025-12-17T11:04:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/\"},\"wordCount\":1227,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6\"},\"image\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp\",\"articleSection\":[\"Fadiga Cr\u00f4nica\",\"Quero ter mais energia\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/\",\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/\",\"name\":\"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino - Dr. Roberto Franco do Amaral Neto\",\"isPartOf\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp\",\"datePublished\":\"2024-04-26T13:28:42+00:00\",\"dateModified\":\"2025-12-17T11:04:49+00:00\",\"description\":\"Estudo do NIH revela como a S\u00edndrome da Fadiga Cr\u00f4nica afeta o corpo: sintomas, altera\u00e7\u00f5es no cora\u00e7\u00e3o, c\u00e9rebro, m\u00fasculos e microbiota\",\"breadcrumb\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#primaryimage\",\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp\",\"contentUrl\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp\",\"width\":720,\"height\":628},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#website\",\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/\",\"name\":\"Dr. Roberto Franco do Amaral Neto\",\"description\":\"Sa\u00fade n\u00e3o \u00e9 aus\u00eancia de doen\u00e7a\",\"publisher\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"pt-BR\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6\",\"name\":\"Dr. Roberto Franco do Amaral Neto\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2020\/06\/robertofrancodoamaral.com.br-dr-roberto-nobg-400.png\",\"contentUrl\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2020\/06\/robertofrancodoamaral.com.br-dr-roberto-nobg-400.png\",\"width\":400,\"height\":364,\"caption\":\"Dr. Roberto Franco do Amaral Neto\"},\"logo\":{\"@id\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/image\/\"},\"sameAs\":[\"https:\/\/robertofrancodoamaral.com.br\/\"],\"url\":\"https:\/\/www.robertofrancodoamaral.com.br\/blog\/author\/dr_roberto\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino - Dr. Roberto Franco do Amaral Neto","description":"Estudo do NIH revela como a S\u00edndrome da Fadiga Cr\u00f4nica afeta o corpo: sintomas, altera\u00e7\u00f5es no cora\u00e7\u00e3o, c\u00e9rebro, m\u00fasculos e microbiota","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/","og_locale":"pt_BR","og_type":"article","og_title":"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino - Dr. Roberto Franco do Amaral Neto","og_description":"Estudo do NIH revela como a S\u00edndrome da Fadiga Cr\u00f4nica afeta o corpo: sintomas, altera\u00e7\u00f5es no cora\u00e7\u00e3o, c\u00e9rebro, m\u00fasculos e microbiota","og_url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/","og_site_name":"Dr. Roberto Franco do Amaral Neto","article_published_time":"2024-04-26T13:28:42+00:00","article_modified_time":"2025-12-17T11:04:49+00:00","og_image":[{"width":720,"height":628,"url":"http:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp","type":"image\/webp"}],"author":"Dr. Roberto Franco do Amaral Neto","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Dr. Roberto Franco do Amaral Neto","Est. tempo de leitura":"7 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#article","isPartOf":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/"},"author":{"name":"Dr. Roberto Franco do Amaral Neto","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6"},"headline":"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino","datePublished":"2024-04-26T13:28:42+00:00","dateModified":"2025-12-17T11:04:49+00:00","mainEntityOfPage":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/"},"wordCount":1227,"commentCount":0,"publisher":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6"},"image":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#primaryimage"},"thumbnailUrl":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp","articleSection":["Fadiga Cr\u00f4nica","Quero ter mais energia"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/","url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/","name":"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino - Dr. Roberto Franco do Amaral Neto","isPartOf":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#primaryimage"},"image":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#primaryimage"},"thumbnailUrl":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp","datePublished":"2024-04-26T13:28:42+00:00","dateModified":"2025-12-17T11:04:49+00:00","description":"Estudo do NIH revela como a S\u00edndrome da Fadiga Cr\u00f4nica afeta o corpo: sintomas, altera\u00e7\u00f5es no cora\u00e7\u00e3o, c\u00e9rebro, m\u00fasculos e microbiota","breadcrumb":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#primaryimage","url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp","contentUrl":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2024\/04\/robertofrancodoamaral.com.br-finalmente-sabemos-o-que-causa-a-sindrome-da-fadiga-cronica-e-a-longa-covid-fadiga.webp","width":720,"height":628},{"@type":"BreadcrumbList","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/fadiga-cronica-novidades\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/"},{"@type":"ListItem","position":2,"name":"S\u00edndrome da Fadiga Cr\u00f4nica: Estudo Revela Mudan\u00e7as Ocultas no Cora\u00e7\u00e3o, C\u00e9rebro e Intestino"}]},{"@type":"WebSite","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#website","url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/","name":"Dr. Roberto Franco do Amaral Neto","description":"Sa\u00fade n\u00e3o \u00e9 aus\u00eancia de doen\u00e7a","publisher":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"pt-BR"},{"@type":["Person","Organization"],"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/5bf9fd398d4bf2c6860d1a82d3aae3b6","name":"Dr. Roberto Franco do Amaral Neto","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/image\/","url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2020\/06\/robertofrancodoamaral.com.br-dr-roberto-nobg-400.png","contentUrl":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-content\/uploads\/2020\/06\/robertofrancodoamaral.com.br-dr-roberto-nobg-400.png","width":400,"height":364,"caption":"Dr. Roberto Franco do Amaral Neto"},"logo":{"@id":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/#\/schema\/person\/image\/"},"sameAs":["https:\/\/robertofrancodoamaral.com.br\/"],"url":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/author\/dr_roberto\/"}]}},"_links":{"self":[{"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/posts\/11460"}],"collection":[{"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/comments?post=11460"}],"version-history":[{"count":10,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/posts\/11460\/revisions"}],"predecessor-version":[{"id":12234,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/posts\/11460\/revisions\/12234"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/media\/11461"}],"wp:attachment":[{"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/media?parent=11460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/categories?post=11460"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.robertofrancodoamaral.com.br\/blog\/wp-json\/wp\/v2\/tags?post=11460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}