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While we did not observe significant changes in modulation of protein synthesis/degradation with L-Carnitine alone in this study, there is evidence that it can reverse muscle wasting under pathological conditions [51], which may have been observed with a longer study duration

This is mediated by the binding of insulin to its receptors on the adipocyte plasma membrane

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The diagnosis of atypical KD should be considered in children with prolonged unexplained fever, less than 4 of the AHA criteria, compatible laboratory findings, or concerning echocardiographic findings (such as coronary artery aneurysm or reduced EF) (Figure 4)