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Certain types of antibiotics, specifically fluoroquinolones (like ciprofloxacin and levofloxacin) and macrolides (like clarithromycin and erythromycin), have been linked to insomnia, nightmares, and feeling "wired" or anxious

These findings underscore the critical role of mitochondrial dysfunction in the pathogenesis of GWS and suggest that targeting impaired energy metabolism may offer novel therapeutic avenues

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These mycotoxins can disrupt the cellular sphingolipids metabolism and, in the same way, activate apoptotic, necrotic and cellular hyperplasia related pathways