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doi: 10.1136/bjsm.36.4.282

Studies have shown that MCT9 has been characterized as a carnitine efflux transporter, which is involved in the transport of carnitine from the inside to the outside of the cell [177]

Metabolomic profiling has identified changes in metabolites, including purine and pyrimidine derivatives, amino acids, and metabolic pathways like ammonia recycling and glutamate metabolism, all of which are impacted by heat stress

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Without a proper diet and at least some physical activity, the results are likely to be disappointing