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1 Introduction Myocarditis is a heterogeneous disease characterized by myocardial inflammation and cardiomyocyte injury ( The natural course of myocarditis exhibits a distinct stage-dependent progression ( Within this pathological context, alterations in cardiac energy metabolism have attracted increasing attention ( Experimental studies have consistently demonstrated that cardiomyocytes in myocarditis exhibit a metabolic shift from oxidative phosphorylation toward increased reliance on glycolysis, even under relatively oxygen-replete conditions ( In addition to cardiomyocytes, infiltrating immune cells within the myocardium undergo substantial metabolic remodeling

a , The number of surviving wild-type cells

Individual tolerance differs significantly based on gastrointestinal sensitivity, titration speed, and dietary habits

This may indicate underlying issues such as nutritional imbalances, inadequate caloric intake, or other medical conditions that require investigation