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doi: 10.1038/nri3227 185 NeurathMFSandsBERiederF

In Barth syndrome, this translates into measurable gains in cardiac function and walking distance

doi: 10.1042/bst025131s

This proves the imbalance itselfnot just weight or insulin resistancecan drive hormonal symptoms
Evidence in humans is still developing, so this section should be framed as an emerging area of interest rather than a guaranteed outcome