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Statements Author contributions BYW and JQZ designed the manuscript

R -lipoic acid is covalently bound to a specific lysine residue in at least one of the proteins in each multienzyme complex

Chugai and Lilly published the preclinical pharmacology data of this molecule together, and Lilly is running Phase III studies on orforglipron for the treatment of Type 2 diabetes and for weight management in adults with obesity or overweight with at least one weight-related medical problem

In studies lasting 68 weeks, participants taking 412mg daily sometimes showed improved endurance, higher time-to-exhaustion scores, or smaller increases in creatine kinase an enzyme that rises with muscle damage.32 Not all trials find performance benefits, but those that do often include participants with lower baseline antioxidant intake or higher training loads.33 For now, researchers interpret the findings as preliminary evidence that astaxanthin may support recovery in situations where oxidative stress is high.38 Sleep and fatigue Researchers have begun exploring how carotenoid intake might relate to sleep quality