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During high-intensity exercise, creatine is converted into phosphocreatine, which helps rapidly regenerate ADP into ATP, thus maintaining efficient energy output for a short period, rather than directly "providing strength." This mechanism is particularly crucial for explosive sports such as sprinting, weightlifting, and squats
The 2018 Japanese Clinical Practice Guidelines highlighted the importance of early recognition and treatment of carnitine deficiency, particularly in children with risk factors, such as valproic acid use, long-term enteral nutrition, and antibiotics use [4,5]

[DOI] [PubMed] [Google Scholar] 116.Kunnecke B, Cerdan S, Seelig J
