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Steffen M, Sarkela TM, Gybina AA, Steele TW, Trasseth NJ, Kuehl D, et al

Advances in Nutrition, 10 , S422S436

Authentic L-malate and D-malate samples (5 L, 10 mM, Sigma Aldrich) were analyzed as a reference

In older adults with sarcopenia and cardiovascular disease, combined exercise programs have demonstrated significant improvements in muscle mass, strength, gait speed, and cardiorespiratory fitness, along with reductions in carotid intima-media thickness and arterial stiffness (150, 151)