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Conclusions Heart disorders are increasingly being recognized as comorbidity in children with inborn errors of metabolism
This can lead to concerns such as: Loose skin around the jawline Sagging cheeks and facial volume loss Neck laxity Wrinkled skin around the abdomen Loose upper arms Inner thigh skin laxity Reduced skin elasticity after significant body contour changes For many clients, these changes can diminish the emotional satisfaction that comes with successful weight loss
Oral supplements might not work well for some because of absorption issues or severe conditions
If the smell is strong and comes with pain, fever, or cloudy urine, a doctor should be consulted to rule out infection or other problems
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