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After supplementation with l-carnitine, especially in group D (high-dose), the hypoxic condition was improved to some extent

An important limitation of the available evidence is the relatively short duration of follow-up in many included trials

These terminal modifications confer resistance to aminopeptidase and carboxypeptidase degradation, with dual-modified peptides demonstrating substantially improved half-lives in biological matrices

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Examining trial-specific data is beyond the current scope, but we can gain summative insights from meta-analyses of these RCTs