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The healthier metabolic state was defined by higher glucose metabolism substrate levels and corresponded to higher levels of ketogenic AAs/BCAA metabolite derivatives (tyrosine, threonine, valine, 4-methyl-2-oxovaleric acid and propionylcarnitine), ketone bodies (3-hydroxybutyrate and 2-hydroxybutyrate), and butyrylcarnitine (a metabolite involved in fatty acid metabolism

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The injection site (often the arm or glute) is disinfected, and the vitamin solution is injected with a fine needle

Medicina (B Aires) (2003) 63(1):914