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Conclusions and future directions The lack of positive effects from CM supplementation within the existing literature is due to a number of factors, including the testing protocols not featuring a predominantly aerobic energy contribution, the lack of testretest reliability of exercise protocols, dosing strategy (i.e., amount and timing), and the recent discovery of quality control issues with some manufacturers stated citrulline:malate ratios

Direct Comparison: Injections vs

Gazda, MD, assistant professor in the department of internal medicine at University of Texas Southwestern Medical Center, and colleagues wrote in the study background

It activates estrogen-related receptor gamma (ERR), which upregulates mitochondrial genes and increases the bodys ability to burn fat and resist fatigue