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Clinical and experimental rheumatology, Advance online publication

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Subsequently, subjects who are supplemented with L-carnitine for two weeks had a reduction in lipid peroxidation (based on the thiobarbituric acid-reactive substance method) and muscle damage markers (malondialdehyde, creatine kinase, and lactate dehydrogenase) with a concurrent increase in total antioxidant capacity [16]

However, when these strategies are perceived as insufficient to achieve desired body-image outcomes, some individuals seek faster and more effective methods, including the use of performance-enhancing substances such as anabolicandrogenic steroids (AAS)