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These markers included increased plasma alanine and lactate levels and the presence of organic acids, such as 3-methyl-glutaconic and dicarboxylic acids, and Krebs cycle intermediates, in the urine of these patients [69]

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[3] 1.3 ISCHEMIA-EXTEND The observational extension, ISCHEMIA-EXTEND, followed surviving participants for a median of 5.7 years (and up to 7 years), accumulating 557 deathsnearly double the number in the initial phase