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Abbreviations GBD: Global Burdon of Disease Dalys: Disability-Adjusted Life Years BMI: Body Mass Index MAC: Mid-Arm Circumferences MAMC: Mid-Arm Muscle Circumference AMA: Arm Muscle Area TSF: Triceps Skinfold Thickness CC: Calf Circumference ALB: Albumin NIHSS: National Institutes Of Health Stroke Scale mRS: modified Rankin Scale ASA: American Stroke Association SPSS: Statistical Package for the Social Sciences ITT: Intention-To-Treat ANCOVA: Analysis of Covariance Nrf2: Nuclear factor Erythroid-derived 2-like 2 PPAR: Peroxisome Proliferator-Activated Receptor Alpha MHD: Heat Shock Proteins (HSPs), Maintenance Hemodialysis References (IHME) IfHMaE

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The roles of these three signaling pathways involve a reduction in protein synthesis and expression of specific genes to cope with proteotoxic stress (Wongprayoon and Govitrapong, 2017)

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