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If carnitine supplements are not promptly started, patients with primary carnitine deficiency can present with an acute metabolic decompensation early in life, or later in life with skeletal and cardiac myopathy or sudden death from arrhythmia [82, 100, 102]

11 Finalmente, aunque no fue uno de los objetivos principales, los familiares mencionaron una mejora en los sntomas relacionados con la insuficiencia renal crnica, por ejemplo que mejor la adinamia, el estado anmico, la coloracin cutnea y diminucin en la anorexia

evaluated patients who underwent RYGB or VG and reported that, after bariatric surgery, patients showed a significant reduction in the levels of the matrix metalloproteinases MMP-2 and MMP-9, oxidative stress markers, which may be associated with the observed improvements in T2DM and obesity

Two-year treatment with metformin during puberty does not preserve ?-cell function in youth with obesity

doi: 10.21037/tau-20-685 136 DasJGhoshJMannaPSilPC