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It contributes to energy production by supporting the metabolism of fatty acids and the synthesis of acetyl-coenzyme A, the central substrate for energy production that also helps maintain homeostasis between catabolic and anabolic reactions

3.2.3 Steps 4 and 5: identification of initial item pool/expert review, cognitive interviews, readability analysis The initial item pool included 27 existing measures and 714 items (13 narcolepsy symptom facets and 11 functional impairment facets)

and (4) non-odontogenic neoplastic lesions (rhabdomyosarcoma, Burkitt lymphoma, Langerhans cell histiocytosis, Ewing sarcoma)

Overall, short-term CIT supplementation showed minimal physiological impact in this population (50)