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In states of insulin resistance, impairments in phosphatidylinositol 3-kinase (PI3K) and mitogen-activated protein kinase (MAPK) signaling pathways can disturb the balance between nitric oxide (NO) production and endothelin-1 secretion, resulting in endothelial dysfunction [56,57,58] (refer to Fig

Andrologia 2022]

People with cardiovascular concerns should consult a healthcare professional before high-dose or long-term use

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