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The FIGHT study showed that more vulnerable HF patients with severely reduced HRQoL and perhaps more advanced stages of the disease may require complex care planning to improve their health status rather than solely increasing glucose and fatty acid metabolism to enhance cardiac metabolism

Strengthening this system through lifestyle, precursor supplementation, and, where appropriate, modern delivery methods may not cure diabetes, but it offers a way to slow its progression, protect vulnerable organs, and reshape metabolic health for the long run

Laparoscopic and open surgeries

Revista Espaola De Cardiologa 2010, 63: 509-512

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