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Controversially, recent studies on impaired myocardial energetics in HFpEF hearts indicated that the issue was not primarily due to a switch to alternative substrates but rather due to inadequate FAO [97]
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A- In some patients, it only takes a few weeks to notice an increase in energy levels and improvement in nerve symptoms, although a full cure can take much longer, depending on how bad the deficiency is and how compliant the patient is
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