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As in RCT, participants were mostly adults (mean age 30.455.5 years) and females (6095%) with class II obesity, except for studies conducted in China and South Korea, enrolling patients with a mean BMI ranging from 30.8 to 33 kg/m 2 53,54,62,66

Multiple organ failure including sepsis-induced cardiac dysfunction seem to be the result of numerous factors as overwhelming inflammation and nitric oxide synthesis impairment associated with mitochondrial dysfunction and increased oxidative stress (Cecchini and Cecchini, 2020)

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