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However, contrary to studies in the general populations, no evidence for TMAO-induced platelet hyperreactivity was detected in HIV-infected individuals (Ma et al., 2017), and endothelial cell adhesion by activated leukocytes (Seldin et al., 2016), which were mediated by activation of the NF-B signaling pathway

doi: 10.1002/ajmg.1425

It increases the body's reliance on fat for energy, reducing muscle glycogen depletion and lactic acid build-up, allowing longer duration of muscular exertion

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