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Koeth, R.A., Levison, B.S., et al

The increased oxygen consumption is accompanied by the release of reactive oxygen molecules that can lead to oxidative damage of skeletal muscle tissue, an effect that is further aggravated by the release of additional reactive oxygen species by immune cells involved in repairing damaged muscle tissue post-exercise1

This could be because oxidative stress causes an ovarian inflammatory and apoptotic microenvironment, which in turn inhibits and/or shuts off the ovarian steroidogenesis pathway 57,58

[23] Most practitioners find that weekly injections help maintain consistent levels of the lipotropic factors

Carnitine reduces the lipoperoxidative damage of the membrane and apoptosis after induction of cell stress in experimental glaucoma