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Furthermore, TMAO induces reactive oxygen species (ROS) generation in macrophages, creating a feed-forward loop that amplifies both inflammatory responses and oxidative stress ( 4.2 Impact of TMAO on DCs DCs, as the most potent professional antigen-presenting cells in the body, play a pivotal role in antigen recognition and signal transmission during immune response

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Male reproductive tissues, such as the epididymis and testis [31,87], exhibit higher concentrations of L-Carnitine compared to plasma, highlighting its relevance to sperm maturation [88] and motility [89]

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The supplement reduces different markers for stress and muscle soreness