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The remaining portions of the patellar tendon on either side of the graft are sutured back after its removal

Grip strength and five-repetition maximum in compound lifts offer additional functional metrics that capture the muscular benefits of improved mitochondrial efficiency and glucose uptake in skeletal muscle

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MOTS-c activates AMPK (AMP-activated protein kinase), which signals cells to shift from glucose storage to fat oxidation and improves insulin sensitivity through mitochondrial and nuclear gene regulation