"Adult GH (growth hormone) deficiency is also an important disorder that causes general fatigue in patients who have hypothalamo-pituitary damage."
This implies that the hypothalamus, a crucial centre of autonomic functions, is attacked by the virus.
https://t.co/TtrA0DBpEo https://t.co/SGugoszVEa
As to186 patients who showed long COVID symptoms in 2021, "Patients who were suffering from fatigue and dysosmia/dysgeusia were younger, .. patients suffering from general fatigue had lower levels of serum growth hormone and higher levels of serum FT4."
https://t.co/rcFqvUqceS