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One critical error we see repeatedly: researchers assume 'more water is safer' because it dilutes the peptide

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Nevertheless, in a forced-swimming mouse model, Meldonium reduced exercise-induced mitochondrial dysfunction, oxidative damage, and apoptosis in cardiac tissue, consistent with cardioprotective potential ( In athletes, prolonged high-intensity exertion may lead to athletic heart syndrome, characterized by cardiac hypertrophy, inflammation, oxidative stress, mitochondrial dysfunction, and accumulation of acylcarnitines with disturbed substrate oxidation ( -oxidation and activating glucose-metabolic pathways (e.g., 6-phosphofructokinase and pyruvate dehydrogenase), Meldonium shifts ATP production from lipids toward carbohydrates during exercise, which may reduce oxidative stress and improve metabolic flexibility (32)

References Pickart L et al