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These results reinforce the concept of metabolic syndrome-associated OA phenotype

This suggests that there might be different lipid metabolic pathways in the two subtypes of HF, and inhibiting myocardial energy deficiency, by restoring ATP-dependent LV relaxation and contraction, might cause beneficial effects in HFpEF [7]

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10.1016/S0168-8278(02)00102-2 298

in some cases these were observed in conjunction with parasites and has led to speculation that grass eating in wild canids serves as a way for these species to self-treat for intestinal parasitism