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Lancet 396 , 819829 (2020)

It is thought that over time, the disease shifts from an early hypermetabolic state to a hypometabolic state with decreased metabolites (251) and reduced energy production (185)

Studies suggest a loss of functional interaction between MMAA and MUT as a disease-causing mechanism that impacts the processing and assembly of a cofactor to its destination enzyme (134)

This study addresses these knowledge gaps by investigating the metabolic and perceptual responses to two LC supplementation protocols in highly trained swimmers, offering a novel, sport-specific contribution to the literature on ergogenic aids

Emerging evidence, such as vitamin D deficiency, has also been linked to elevated SDF [47]