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People with BMIs of 27 or higher who previously have had: Heart attacks

This provides the rationale for the perioperative use of immunonutrition formulas containing specific nutrients (e.g., arginine, -3 PUFAs, nucleotides), aiming to reduce postoperative complication risks by modulating the immune response (57, 58)

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Endotoxin levels should be below 5 EU/mg for research-grade material

There is no recovery pain otherwise, and most patients go straight back to work or to the gym the same day, avoiding only intense upper-body exercise on the treated arm for a few hours