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In addition, hyperinsulinemia dysregulates the mTORC1 signaling pathway, lowering muscle protein synthesis and activating the ubiquitin-proteasome system, ultimately enhancing protein degradation (59, 60)

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Some may experience mild side effects like nausea, stomach upset, or a fishy odor in breath and sweat

The profile of a typical heart disease patient has shifted over the past 30 years from the hypertensive, chain-smoking, type A personality to someone with overweight or obesity and concomitant diabetes