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In women, L-carnitine supplementation led to a remarkable performance improvement compared to the control. Whey protein showed the least performance improvement in women, and creatine also produced minimal results, consistent with the findings of previous studies in female populations

208,209,210 In particular, neutrophils within the tumor microenvironment induce the overexpression of immune checkpoint ligands, contributing to immunosuppression

Therefore, immunotherapy provides a more effective and less toxic alternative to chemotherapy for cancer patients [6668], which is revolutionizing cancer treatment

L-carnitine helps transport long-chain fatty acids to the mitochondria of cells, where they are converted into energy, promoting fat metabolism and supporting athletic performance