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These athletes were selected based on their high skill level, as all participants held a Russian master-level swimming certification, ensuring they had the necessary training and competitive experience for the experimental protocols

[20] Hepatic encephalopathy: ALCAR has been studied in hepatic encephalopathy, a complication of cirrhosis involving neuropsychiatric impairment

Addressing these deficiencies involves a combination of dietary adjustments, supplementation, and medical supervision

(50), where LC supplementation led to significant BMI reductions, particularly in overweight or obese individuals

J Nutr (2015) 145:82938

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