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The increase in lactate that we detected points towards a defect in oxidative energy metabolism, but this conclusion must be treated cautiously given the difficulty of measuring lactate in the presence of the much larger and broader macromolecule (MM) resonance at ~1.35 ppm, with the lactate signal being a small shoulder on that peak (Fig

Rotation prevents cumulative tissue irritation and allows each site to fully recover before the next injection

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Can also be taken post-training to support recovery and cellular cleanup