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Data extraction and analysis All identified studies were independently reviewed by two authors (O.S

Peroxisomal -oxidation is incomplete and is responsible for the oxidation of very long-chain fatty acids (VLCFAs) and branched-chain fatty acids (BCFAs) that are incompatible with mitochondrial enzymes to produce some shorter acyl-CoAs [28]

This context dependence also suggests that, when applying BCAA-related targets for disease intervention, it is necessary to distinguish between two different levels of regulatory modes: the mTOR-driven pro-inflammatory effects caused by enhanced BCAA uptake/transport, and the support provided by changes in BCAA catabolic flux to mitochondrial metabolism and reparative programs, so as to avoid conflating results obtained from different experimental systems

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Intramuscular injections are more common because they tend to have better results