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doi: 10.1002/art.1780080429 139 SpenceJ

Additionally, the increase in microvascular blood flow in muscles contributes to reduced intramuscular fat accumulation and alleviation of myosteatosis, while AMPK pathway-mediated increased fat oxidation supports the mobilization of intramuscular fat, allowing for improvements in energy metabolism and reduction of fat within muscle tissue [39]

doi: 10.1007/BF00232585

L-Carnitine Injection is used to **enhance energy production**, **delay muscle fatigue**, and **improve endurance** in performance horses and active dogs

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Efficacy of lifestyle interventions to treat pediatric obesity: A systematic review and multivariate meta-analysis of randomized controlled trials