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Eur Heart J 11(6):509516 Dvila-Romn VG, Vedala G, Herrero P, de las Fuentes L, Rogers JG, Kelly DP, Gropler RJ (2002) Altered myocardial fatty acid and glucose metabolism in idiopathic dilated cardiomyopathy

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Since metabolites are the final downstream products of transcription and translation, they are closest to the phenotype (6) and largely reflect environmental influences, nutritional requirements, effects of xenobiotics and drugs, stress, and various pathological or internal changes in biochemical pathways (7, 8)

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