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ML, YL, YD, and SS wrote some part of the manuscript

L-Carnitine helps transport fatty acids into cells where they are converted into energy, supporting fat metabolism and endurance

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Injection Site Reactions More common with IGF-1 DES , which is injected directly into the muscle: Localized redness or swelling Muscle soreness Temporary inflammation These reactions usually resolve within a day

SV downregulated KEAP1 expression while upregulating Nrf2 and its downstream targets HO-1 and SOD, thereby reducing the lipid peroxidation product malondialdehyde (MDA)