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Such procedural errors can be fertile ground for a defense

Both direct markers, including pyruvate, lactate, lactate-to-pyruvate ratio, alanine, alanine-to-lysine ratio, acyl-carnitines, and ubiquinone, and indirect markers, such as ammonia, carnitine, creatine kinase, alanine aminotransferase, and aspartate aminotransferase, have been used to identify these dysfunctions [91]

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Clinical trials on tesamorelin, another GHRH mimetic, have observed noteworthy improvements in muscle density and size among HIV patients