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Cardiovascular complications, including cardiomyopathy and structural cardiac remodelling, appear to represent the most clinically significant outcomes, as comprehensively described by Iliakis and Stamou (90)

As opposed to PCD, SCD occurs due to, or in association with, other disorders such as liver or kidney disease, defects in fatty acid metabolism, or administration of pharmacological agents such as pivampicillin or valproic acid (discussed below) [27, 41, 42]

Some studies have shown that blueberry extract can exert antioxidative damage to reduce the damage that the hypoxic environment exerts on testicular tissue, but the quality of sperm has not been visually assessed [26]

Case series of sudden cardiac death in young athletes frequently report myocardial hypertrophy and fibrosis, supporting the presence of an arrhythmogenic substrate in long-term AAS users (72)

It plays a crucial role in transporting fatty acids into mitochondria to produce adenosine triphosphate (ATD), which is vital for energy production in skeletal muscle and heart

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