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Under normoxic conditions, pyruvate and electron-carrying NADH translocate to the mitochondria, where pyruvate decarboxylation generates acetyl-CoA for entry into the tricarboxylic acid (TCA) cycle, culminating in robust ATP synthesis (25)

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Each type has slightly different structures that are not easy to digest and absorb in their natural, full-length form

Weeks 5-6: Step down to 0.5 mg weekly

Target zones are marked, and topical anesthetic may be applied if needed for comfort