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Responsive patients demonstrate improved outcomes, emphasizing the significance of maintaining adequate L-carnitine levels for reproductive health ( Figure 4 )

Therefore, it is metabolized via either transmethylation or transsulfuration reactions (Figure 3)

Lactate reduces the pH of the tumor microenvironment, dampens the immune response, promotes angiogenesis and metastasis, and alters the metabolism of stromal cells that support tumor growth [20]

Schafer FQ and Buettner GR

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Anti-Mullerian hormone attenuates both cyclophosphamide-induced damage and PI3K signalling activation, while rapamycin attenuates only PI3K signalling activation, in human ovarian cortex in vitro