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Koska et al

In genetic or sarcomeric hypertrophy, energetic inefficiency and impaired relaxation may be present even before overt remodeling

Unless, of course, there is some kind of additional pro-sarcopenia mechanism at play

Innate Fe-Redox regulators such as lactoferrin (LF), heme oxygenase (HO)-1, erythropoietin (EPO), and hepcidin (HEP) serve as front-line innate barriers against free radical (ROS/RNS) damage and hyper-immune responses during COVID-19 and PASC 27