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Figure 3 4.4 Obstetric and neonatal outcomes after L-carnitine administration After 67 IVF cycles following L-carnitine administration, 74 healthy babies were born, including 10 from fresh cycle transfers and 64 from frozen-thawed cycles

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Acetyl-L-carnitine hydrochloride selectively enters cells and the brain through the organic cation transporter OCTN2

Simultaneously, physical activity initiates mitochondrial biogenesis (mediated by peroxisome proliferator-activated receptor gamma coactivator 1-alpha, PGC-1), enhances mitophagy, maintains the balance between mitochondrial fusion and fission, and optimizes electron transport chain efficiency, which collectively mitigates ROS production and safeguards the functionality of both muscle and endothelial cells (74)

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