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reduction in cellular oxygen and/or energy delivery, and insufficiently activated defense mechanisms induce mitochondrial dysfunction and consequently, a downregulation of cellular metabolism ( 7 , 8 ). Although survival from previously lethal conditions is
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Comprehensive Heart Failure Center, Würzburg, Germany
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are limited. In contrast, bariatric surgery, especially Roux-en-Y gastric bypass (RYGB), is associated with a pronounced reduction in body weight, due to a reduction of energy intake of up to 50% ( 8 , 9 , 10 , 11 , 12 , 13 , 14 ). Most likely
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SA Mantzoros CS. Leptin and hormones: energy homeostasis . Endocrinology Metabolism Clinics of North America 2016 45 633 – 645 . ( doi:10.1016/j.ecl.2016.04.012 ) 10.1016/j.ecl.2016.04.012 29 Sulcová J Hill M Hampl R Stárka
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currently believed that the mechanism of action of serum CLU in metabolic diseases may be through several pathways. First, CLU may be an anorexia-inducing factor, and the key factor through which the hypothalamus controls energy metabolism. Animal studies
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. ( https://doi.org/10.2337/diabetes.53.5.1261 ) 8 Heckmann BL Zhang X Xie X Saarinen A Lu X Yang X Liu J . Defective adipose lipolysis and altered global energy metabolism in mice with adipose overexpression of the lipolytic inhibitor G0/G1
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Shulman GI A high-fat, ketogenic diet causes hepatic insulin resistance in mice, despite increasing energy expenditure and preventing weight gain . American Journal of Physiology. Endocrinology & Metabolism 2010 299 E808 – E815 . ( https
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higher risk of adrenal crisis. Clinical presentation Clinical signs and symptoms : Fatigue, lack of energy, weight loss Low blood pressure, postural dizziness and hypotension (≥20 mmHg drop in BP from supine to standing position), dizziness
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.7 (8.5) Total energy intake (kcal/day) 2140.7 (458.0) 2124.8 (454.4) Fat intake (%) 33.3 (6.9) 31.9 (7.3) Waist circumference (cm) 96.1 (6.9) 95.2 (7.4) Weight (kg) 72.1 (8.5) 71.7 (10.1) BMI 28.0 (2