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Before treatment, her blood pressure was normal (110/70 mmHg), the electrocardiogram (ECG) showed left bundle branch block (LBBB) and the echocardiography displayed a normal left ventricle (LV) with a normal left ventricular ejection fraction (LVEF) of 58% and global longitudinal strain (GLS) of 19.8%

Most patients who forego invasive mechanical ventilation via tracheostomy die within 24 years from diagnosis, primarily from respiratory failure and complications of bulbar and diaphragmatic weakness [3]

Swallow the tablets with a glass of water

The authors also acknowledge the Gujarat Biotechnology Research Centre (GBRC), Ahmedabad, for providing access to the LC-MS/MS facility and technical support for metabolomic analysis