Article: Letter to the Editor.(Letter to the Editor)

Editor:

I would like to comment on the article written by Dr. Melvyn Werbach, "Nutritional Strategies for Treating Chronic Fatigue Syndrome."[1] While this is an excellent article, summarizing most of our current knowledge related to nutritional intervention in chronic fatigue syndrome (CFS), the section on L-tryptophan needs to be addressed.

With very few references, most of which are related to fibromyalgia, Dr. Werbach discusses the therapeutic value of L-tryptophan and 5-hydroxytryptophan. The author begins his consideration based on one peer reviewed study which shows a decrease in plasma L-tryptophan.[2] This follows with a reference to low levels ...

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