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Perhaps one of the reasons L-carnitine does not possess a higher profile is that its benefits are far from immediate

Circ Res 90:966973 Carmeliet P, Ferreira V, Breier G, Pollefeyt S, Kieckens L, Gertsenstein M, Fahrig M, Vandenhoeck A, Harpal K, Eberhardt C et al (1996) Abnormal blood vessel development and lethality in embryos lacking a single VEGF allele

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These conditions are important because they can heighten the health risks associated with being overweight or obese (Wharton et al., 2025)

2.2.4 Nuclear oxidative stress and TAO The nucleus, housing genetic material and regulatory molecules, is vulnerable to oxidative stress-induced damage ( DNA damage: ROS directly damage DNA in orbital fibroblasts of TAO patients, causing strand breaks, base modifications, and oxidative lesions that disrupt gene expression and DNA repair mechanisms ( Regulation of transcription factor activity: Oxidative stress influences transcription factor activity, regulating genes involved in inflammation, cell proliferation, apoptosis, and other processes relevant to TAO pathology ( Protein oxidation and modification: Oxidative conditions in the nucleus lead to protein oxidation and modification, altering protein structure and function critical for nuclear processes in TAO ( Cell cycle and apoptosis regulation: Oxidative stress impacts cell survival and apoptosis pathways, influencing cell cycle progression and apoptotic signaling relevant to TAO progression ( Nuclear oxidative stress disrupts cellular functions essential for maintaining ocular tissue integrity in TAO