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The process is driven in part by genes in what's known as the "mitochondrial respiratory chain complex," a group of enzymes that help convert oxygen, sugar, and proteins into ATP through a process called oxidative phosphorylation

As is well known, cardiac diseases are often accompanied by disturbances in cardiac energy metabolism, which can lead to impaired cardiac function and promote disease progression

She said the trend was particularly noticeable among teenagers and those in their early 20s

However, if combined with insulin or sulfonylurea drugs, careful monitoring is needed to avoid blood sugar going too low