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These usually reduce with proper use

One part of glucose is transformed into pyruvate by a pyruvate kinase (PK), providing the first net gain of ATP, while the other part of PEP can be transformed into oxaloacetate by a phosphoenolpyruvate carboxylase (PEPC) or phosphoenolpyruvate carboxykinase (PEPCK), which provides the second net ATP gain

doi: 10.1186/s13068-021-01970-6

153 The unique structural organization of the IVD is crucial for spinal motion and possesses mechanical properties such as high compressive and tensile strength

Para que eso ocurra, ese mecanismo tendra que traducirse en una mayor oxidacin neta de grasa mantenida en el tiempo, algo que solo puede evaluarse midiendo resultados en las personas