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In simple terms, one is a defensive reaction to external damage, while the other is a direct biochemical stimulation of pigment cells
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However, when the level of long-chain acylcarnitines (LCACs) is abnormally elevated, not only is it a signal of mitochondrial dysfunction but its high concentration can also aggravate mitochondrial damage and further deteriorate mitochondrial function [20, 21]
Creatine and phosphocreatine: a review of their use in exercise and sport

Uncertainties also regard the effect of L-carnitine administration on skeletal muscle function of hemodialyzed patients
