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Most patients undergo the procedure using local anesthesia, which reduces risks and recovery time over general anesthesia

PEM, also called Post-Effort Symptom Exacerbation (PESE) (265), can be best evidenced and provoked by two CardioPulmonary Exercise Test (CPET) 24 hours apart

Subsets with different preferences for BCAA metabolism have also been found in breast cancer, and further studies are needed to determine whether this is due to differences in tumor cells or the involvement of other cells in the microenvironment

The pooled result showed a 1.42 kg increase in lean body mass

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