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In addition to protein-energy malnutrition, specific micronutrient deficiencies (e.g., zinc, magnesium, iodine and Vitamin B6) in SAM, also contribute to growth faltering by hampering the insulin-like growth factor (IGF) complex, which controls healthy growth and repair of tissues [56, 57]

High-performance LCMS analysis LCMS (UltiMate 3000 coupled with Q Exactive, Thermo Fisher) was used for sample analysis

Bacteriostatic Water for Injection, USP is: chemically designated H2O and is a sterile, non-pyrogenic preparation of water containing 0.9% (9mg/mL) of benzyl alcohol added as a preservative and has a pH of 5.7 (4.5 - 7.0)

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10 Institutional Review Board approval was obtained from Bastyr University to send surveys to 300 randomly selected individuals from the Key Pharmacy database