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doi: 10.1371/journal.pone.0091027

It's involved in the synthesis of proteins thus promoting tissue repair, muscle growth, and improve overall cardiovascular health

Wirdefeldt et al., 2011

Office of Dietary Supplements Vitamin B12

MCADD Carriers Brothers and sisters who do not have MCADD still have a chance to be carriers like their parents

Those dual roles are particularly useful for those who engage in intense physical exercise or activities, since the fatty-acid sourced energy itself fuels the performance, of course, but also helps preserve muscle glycogen levels (which prevents muscle damage, when the muscle tissues themselves get broken down to supply energy), and also inhibits the build-up of lactic acid (one of the primary causes of fatigue and delayed onset muscle soreness)