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Abstract This article provides a scoping review of various types of functional factors and their mechanisms of action in enhancing physical strength and endurance, focusing on their roles in regulating the central nervous system, improving energy metabolism, reducing metabolite accumulation, enhancing antioxidant and anti-inflammatory capacity, regulating the endocrine system, and improving blood circulation

Intra-lesional options include collagenase Clostridium histolyticum (CCH), verapamil, and interferon alpha-2b

ALCAR's acetyl group increases its lipophilicity and allows it to utilize specific transport mechanisms, enabling efficient entry into the central nervous system