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Emerging evidence has suggested that PFKFB3 is essential for maintaining glycolysis and promoting metabolic reprogramming in tumorigenic environments, which triggers cell proliferation, anchorage-independent growth, vascular invasiveness, reactive oxygen species (ROS) detoxification, metastasis and drug resistance even under unfavorable conditions (Galindo et al., 2022

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In Long COVID, oxidative stress may be driven by: persistent immune activation mitochondrial dysfunction mast cell activation (MCAS) chronic inflammation autonomic nervous system dysregulation psychological stress (PTSD, illness trauma) Even everyday factors can worsen the burden: travel overexertion poor sleep emotional stress Supporting the Body Against Oxidative Stress While research is ongoing, strategies that may help reduce oxidative stress include: Foundational Support Anti-inflammatory nutrition Adequate hydration Sleep optimization Stress reduction Nervous System Regulation Breathwork Pacing strategies Reducing overstimulation Nutritional & Clinical Considerations Antioxidant support (as clinically appropriate) Mitochondrial support Addressing histamine and MCAS if present Always consult with a qualified provider before starting new treatments or supplements
