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For sustained energy, lifestyle foundations such as adequate sleep, nutrient intake, hydration, iron and B12 status, and physical conditioning should take priority, with L-carnitine considered only as an additional support

78 Augmented cAMP signaling might not only strengthen classical cAMP/PKA pathways but could also modulate cAMP/Epac-dependent pathways, including PI3K/Akt, which have been associated with aspects of cellular survival, mitochondrial bioenergetics, and autophagy in preclinical studies

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