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The complex interplay between HF, obesity, and transplant outcomes prompted the International Society for Heart and Lung Transplantation (ISHLT) 2016 heart transplantation guidance to recommend a BMI of greater or equal to 35 kg/m2 as a relative contraindication to heart transplantation, further emphasizing the importance of LVAD consideration as a bridge-therapy [67], although the language regarding obesity in the 2022 ISHLT guidelines for the care of heart transplant recipients has softened and recognizes the limitations of BMI as a metric [68]

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L-Carnitine is hepatoprotective , meaning it supports liver health for improved hormone metabolism

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A false positive can cost an employee their job start date

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