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Dysregulation of carnitine metabolism in DKD In contrast to the tightly regulated carnitine homeostasis under physiological conditions, the progression of DKD disrupts the renal homeostasis of carnitine metabolismgoverned by synthesis, absorption, and excretionleading to significant regional heterogeneity and systemic metabolic dysfunction

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Amado is fluent in Portuguese, Spanish, French, and Cape Verdean Creole, ensuring that every patient receives clear, culturally competent care

And there were four patients who went back to weekly frequency because they were regaining weight