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They act by stimulating the release of growth hormone (GH) from the pituitary gland, increasing levels of insulin-like growth factor-1 (IGF-1), which promotes muscle protein synthesis, enhances recovery, and supports tissue regeneration

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To acquire energy, FA activation is a must, where FAs are converted into acyl-CoA by the acyl-CoA synthetase on the outer mitochondrial membrane, followed by entering mitochondria with the assistance of carnitine palmitoyltransferase 1 (CPT1) on the outer mitochondrial membrane together with carnitine-acylcarnitine translocase (CACT) and carnitine palmitoyltransferase 2 (CPT2) on the inner membrane [112]