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Unclear is the possible role of homoarginine as an alternative substrate for arginase to form urea and lysine and its degradation to 6-guanidino-2-oxocaproic acid (GOCA) by alanineglyoxylate aminotransferase [72,73,74]

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To address these limitations, future studies should incorporate a larger sample size, a more diverse group of athletes, and stricter control over environmental and personal variables to enhance the accuracy and applicability of the results
