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The insulin signaling pathway, critical for glucose regulation, begins with insulin binding to its receptor, which activates insulin receptor substrates (IRS) and recruits phosphoinositide 3-kinase (PI3 K), which turns phosphatidylinositol-4,5-bisphosphate (PIP 2 ) into phosphatidylinositol-3,4,5-trisphosphat (PIP 3 )

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3.2 L-carnitine levels in preterm infants Due to the large transfer of maternal L-carnitine to the fetus in the third trimester and the immature mechanism of carnitine transport in premature infants, the blood level of l-carnitine in premature infants after 3 to 7 days is slightly higher than that in full-term infants (5)

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