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Over the 15-day intervention, the Mildronate group showed a transient decline in VO max and total workload, alongside an increased respiratory exchange ratio (RER), a finding consistent with a metabolic shift toward carbohydrate oxidation, but not with enhanced maximal performance ( Figure 5 Psychologically, the data also points toward potential adverse effects (Figure 6)

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Patients who qualify may receive injection technique guidance, individualized dosing instructions, treatment education, and follow-up support