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Immediate administration of oral aspirin (325 mg, chewed) is critical as it reduces platelet aggregation and the risk of thrombus propagation, significantly improving outcomes in acute MI

Elevated insulin suppresses lipolysis through independent pathways

Soreness L-carnitine can help reduce pain, damage, and tenderness in muscles after working out too (5)

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This patient's lack of characteristic skin or bone findings, combined with her elevated FSH and LH levels, make a GNAS activating mutation unlikely