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In addition, COVID-19s effects on the cardiovascular system reduce the availability of oxygen and nutrients throughout the body, depleting energy stores and causing energy deficency

Hormonal Regulation : Hormones like insulin can enhance the expression of enzymes involved in carnitine biosynthesis, adjusting the pathways activity in response to metabolic states

International Journal of Nursing Studies (2017)

The corrected effect size for publication bias showed significant changes after trim and fill analysis (WMD = 1385 mm

Excessive daytime sleepiness (narcolepsy)
