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Similarly, the increase observed in various metabolites participating in the phosphocreatine system (creatine, creatinine) and niacin metabolism (niacinamide, N1-methyl-4-pyridone-3-carboxamide), which are responsible for managing the energy pool (i.e., ATP, NADPH), further supports profound failures in catabolism

The main sources of ROS under physiological conditions include the mitochondrial respiratory chain, peroxisomes, NADPH oxidase (NOX), and lipoxygenase (ALOX), and additional ROS-producing enzymes, such as cyclooxygenases (COXs) and cytochrome p450s (CYPs) [12, 13]

Increased body weight: Various animal studies have linked ipamorelin to body weight gain [8, 9]

doi: 10.1038/s41390-022-02295-2 2 AslamSStricklandTMolloyEJ