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It also exhibited a decrease in urine albumin levels, stipulating an improved protective effect in diabetic nephropathy [43]
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Taken together, these psychodynamic considerations suggest that rapid somatic changewhether induced by behavioral, surgical, or pharmacological interventionsmay interact with deeper layers of self-organization, emotional meaning, and relational history
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Specifically, TMA moieties (such as choline, phosphatidylcholine, and L-carnitine) containing fatty acids are converted to TMA by bacterial TMA lyase via various metabolic pathways (235)
Fatigue related to decreased energy production as evidenced by patient reports of tiredness and inability to perform usual activities
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