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They represent complementary mechanisms often studied in combination for synergistic tissue repair effects

Unlike fat-soluble vitamins that require fat for absorption and are stored in the liver, water-soluble vitamins like B12 are processed more quickly by the body and are not stored for long-term use

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Because hexarelin is itself commercially available, its detection cannot distinguish between direct hexarelin administration and alexamorelin use, complicating anti-doping controls

GSH, as an important endogenous antioxidant, is significantly depleted due to elevated oxidative stress, leading to impaired antioxidant defense systems (84, 85)