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Skeletal muscle mass is the balance between protein synthesis rate and the degradation rate.The patient who suffers from cancer cachexia shows protein synthesis retardance and protein degradation increase in the skeletal muscle, and this is reflected in the expression increase aspect of ubiquitin-proteasome Proteolytic enzyme approach, the i.e

Discussion This case highlights an unusual cause of severe metabolic acidosis caused by commonly used medications and readily reversible if recognised

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