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Future studies should focus on developing combinatorial strategies, such as identifying optimal pairings of exercise modalities (e.g., high-intensity interval training versus moderate-intensity endurance training) with specific classes of Chinese herbal medicine, elucidating the cross-regulation mechanisms within the Nrf2/NF-B/AMPK signaling network, and establishing individualized intervention protocols that integrate exercise with botanical treatment for ALD patients

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L-Carnitine may act as a physiological buffer, inhibiting the build up of lactic acid in muscles, thereby delaying the onset of muscle fatigue

Snapp KR, Svare CW, Peterson LD

Unopened vials generally retain stability for up to two years