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Biological pathways such as the TCA cycle, oxidative stress as reflected in glutathione metabolism, and systemic inflammation have been identified in people with DCM and/or heart failure and in relevant tissue from other species (i.e., heart muscle in a hamster model of DCM) 23,25,39,40,41 , and were confirmed in the current study

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Nitrogen-scavenging agents should be instituted once the patient is off HD or high-dose CKRT to prevent rebound
