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This ATP deficiency disturbs multiple ATP-dependent processes, such as electrolyte transport, substrate utilization, and contractile protein interactions, resulting in impaired myocardial contractility

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He reported a series of 12 patients with the intermediate form in his 1964 article and abstracted the following characteristic features of intermediate SMA from them: generalized weakness in the trunk and limb muscles, ability to sit unaided, inability to stand and walk, progressive scoliosis, contracture in the hips and knees, and joint laxity of the hands and fingers

This study aimed to examine the 9-week effects of L-carnitine supplementation on exercise performance, anaerobic capacity, and exercise-induced oxidative stress markers in resistance-trained males