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It works by transporting fatty acids into the mitochondria of muscle cells, where they are converted into energy

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At the same time, Akt phosphorylates and inactivates forkhead box O (FoxO), thereby inhibit the responsible for proteolysis ubiquitin ligases: muscle-specific RING finger-1 (MuRF-1) and muscle atrophy F-box protein (atrogin-1), (for review see [27,28,29])

FASEB J (2020) 34:66375

The third most abundant phylum was Proteobacteria in the control (3.73% 0.84) and Mildronate (4.22% 0.90) groups, being the fourth most abundant phylum in the L-carnitine group (3.55% 0.90)