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Recognising the Symptoms That Point to Testing It often starts with a nagging feeling you cant quite shake

Acknowledgments The authors responsibilities were as follows: JZ, RY and TA wrote and reviewed the manuscript, and all authors read and approved the final manuscript

Part of the answer is behavioral, but a meaningful part is genetic

Future studies in larger, independent cohorts, ideally with longitudinal follow-up and integrated clinical endpoints, will be essential to determine whether the observed metabolic signatures can contribute to risk stratification, patient phenotyping, or therapeutic guidance in cardiovascular disease

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