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The total myalgic score and the number of positive TPs declined significantly and equally in both groups, but at the 10th week, both parameters improved only in the ALC group with a statistically significant between-group difference

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TMAO also upregulated the expression of scavenger receptor cluster of differentiation 36 (CD36) and scavenger receptor-A1 (SR-A1) in macrophages, and induced cholesterol flow to macrophages

In cancer cachexia, energy metabolism is frequently disrupted by tumor proliferation and increased catabolism, resulting in reduced ATP and ADP levels in muscle tissue that normalize after tumor resection

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