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I thought exercise might do more harm than good

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When used consistently and paired with disciplined habits, L-carnitine can help support long-term performance and body composition goals

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186 However, T cells have a mechanism to combat arginine deficiency: when confronted with arginine deficiency caused by Arg1-expressing myeloid cells, T cells increase arginine biosynthesis by up-regulating ASS1 expression

It indicates your body is responding to the medication, not that treatment is ineffective