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d-Carnitine also increased the anaerobic production of lactic acid and d-citramalic acid from pyruvate, but was associated with reductions in the concentrations of five essential amino acids in tilapia (Leu, Val, Met, Trp and Phe) and higher concentrations of His and (+)-threo-2-amino-3,4-dihydroxybutanoic acid

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Measures included MPS, albumin protein synthesis (APS), plasma amino acids/insulin, leg/muscle blood flow, and anabolic signaling using isotope tracers and phosphoimmunoblotting

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Adiponectin improves insulin sensitivity, limits inflammation, and supports normal ovarian signaling