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37 A key strength of STEP-HFpEF DM is its focus on the prevalent comorbidities of HFpEF and diabetes

In cases in which multiple discontinuation events were recorded, only the most recent event was analyzed

MOTS-c Mitochondrial-derived peptide with obesity and metabolic research interest

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While these forms share similarities, standard L-carnitine remains the most widely used option for performance and metabolic support

Implications for Clinical Practice Our findings suggest that integrating hormonal surveillance with individualized pharmacotherapy may enhance long-term care of adolescents post-LSG, but further research is required to establish the utility and cost-effectiveness of such strategies