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This mechanism has particular relevance for athletes whose growth hormone levels fluctuate with training stress and recovery status

Although the branched-chain amino acids (BCAAs) including leucine, isoleucine, and valine, all contribute to muscle metabolism, leucine was selected as the primary focus of this review because it exerts markedly stronger anabolic and signaling effects compared with the other two BCAAs

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Male infertility L-carnitine may be of value for treating male infertility because carnitine content in seminal fluid is directly related to sperm count and motility