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From a mechanistic perspective, key takeaways include ( Table 1 ): Table 1 Mitochondrial alterations in immune cells during the perioperative period

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A key finding: this metabolic shift works independently of weight loss, meaning improved mitochondrial function is the driver, not eating less

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Propionyllcarnitine, larginine and niacin in sexual medicine: a nutraceutical approach to erectile dysfunction. Andrologia 44 (2012): 600-604.