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Avoid framing that implies dramatic transformation

Inflammatory cytokines, such as tumor necrosis factor alpha (TNF) and interleukin6 (IL6), have been shown to impair insulin signaling and glucose uptake in muscle and adipose tissue and to promote hepatic gluconeogenesis and lipolysis

FernandesAntonioALBarreiraJCOliveiraMBPMartinsAFerreiraIC

Increased d-lactic acid intestinal bacteria in patients with chronic fatigue syndrome

I have included the references for congestive heart failure and L-carnitine in the text below

Covid-19 implications for the Health Care System
