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Serum-free carnitine levels are helpful to rule out dialysis-related carnitine deficiency

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These guidelines aim to harmonize clinical practice, optimize patient outcomes, and provide a foundation for future research

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Common signs include: Feeling nervous or anxious Feeling cranky Mood swings Having more or less energy than usual Trouble swallowing A swollen thyroid, called a goiter (you might see swelling at the base of your neck) Losing weight suddenly, without trying Fast or uneven heartbeat or palpitations (pounding in your heart) Having more bowel movements (pooping) than usual Increased hunger Sweating Muscle weakness Shaking in your hands and fingers (tremor) Insomnia (trouble falling or staying asleep) Thinning skin Hair breakage or loss Changes in your period (for instance, it could be lighter than usual or happen less often) Eye pain When you first get hyperthyroidism, you may feel energetic

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These beneficial effects of the KD have also been recognised by other organisations, including the Australian Government in The State of Diabetes Mellitus in Australia in 2024 [174]

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This occurs through the stimulation of the antioxidant system and the inhibition of apoptotic pathways, ultimately enhancing serum FSH levels in letrozole-induced PCOS model rats, thereby promoting follicular development

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