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As tolerance improves, patients can gradually reintroduce higher-fiber foods and expand dietary variety while monitoring symptoms

Amenta F, Cavallotti C, De Rossi M, Bossoni G, Carpi C

E1 is a TPP-dependent -ketoacid dehydrogenase, E2 is a dihydrolipoamide transacetylase that binds one or two lipoyl groups via covalent amide linkages to lysine residues, and E3 is an FAD-containing dihydrolipoamide dehydrogenase that re-oxidizes dihydrolipoamide using NAD +

Primarily secreted by the liver, IGF-1 is an anabolic hormone that helps promote human growth throughout the entire body, particularly skeletal muscle

G.HvelmannU.ZhangS.ShenT.BergmanA.SherrJ