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In contrast, cumulus granulosa cells show elevated expression of genes involved in oocyte communication and matrix remodeling, including GJA1 (gap junction protein alpha 1), HAS2 (hyaluronan synthase 2), and PTGS2 (prostaglandin-endoperoxide synthase 2) [122, 194, 195]

Supplementing a minimum of 1g per day, is recommended to illicit any potential ergogenic benefit

Additional studies show L-carnitine supports post-exercise recovery by alleviating muscle injury and reducing markers of cellular damage

This mechanism plays a critical role in the cellular response to oxidative stress and the regulation of antioxidant gene expression, and it may also be significant in disease progression [148]