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Simultaneously, physical activity initiates mitochondrial biogenesis (mediated by peroxisome proliferator-activated receptor gamma coactivator 1-alpha, PGC-1), enhances mitophagy, maintains the balance between mitochondrial fusion and fission, and optimizes electron transport chain efficiency, which collectively mitigates ROS production and safeguards the functionality of both muscle and endothelial cells (74)

Coenzyme Q 10 may enhance heart muscle cell contractility (shortening) and help maintain ATP (cellular energy) production

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