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122, 123, 124, 125 Insulin, for example, inhibits protein breakdown, facilitating the maintenance of positive nitrogen balance when protein is replaced with CHO

For comparisons involving three or more groups with a single variable, the Kruskal-Wallis test was applied

[18] Pediatric dosing (for instance, in cystic fibrosis) has been about 30 mg per kg body weight per day in research settings

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Ethics declarations Funding This work was supported by the National Natural Science Foundation of China (82103475), Hebei Province Natural Science Foundation (H2023307028, H2024206056), the Medical Science Research Project of Hebei Provincial Health Commission (20240370), Hebei Province Medical Adaptation Technology Tracking Project (GZ2024002), and Hebei Province Government-Funded Clinical Medicine Excellent Talent Training Program (ZF2025013)