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Once in the mitochondria, these fats are transformed into energy, making ALC essential in fat metabolism

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The increased risk for thrombotic episodes, such as deep vein thrombosis (DVT), associated with homocysteinemia is due to homocysteine serving as a contact activation nucleus for activation of the intrinsic coagulation cascade

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doi:10.1186/1471-2202-13-33 69

Strong conclusions require careful review of the compounds, formulation, route, dose, condition definition, athlete population, training context, comparator, outcome measure, safety data, anti-doping context, and product-specific evidence