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In addition, exercise activates the AMPK signaling pathway, accelerating fatty acid -oxidation, effectively reducing hepatic lipid accumulation, and improving blood lipid profiles, as evidenced by increased HDL levels and decreased LDL levels (Bekheit et al., 2025)

and disposing of the needle in a sharps container

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Some of the limitations of our study are the small sample size, resulting from non-compliance and study drop-out during the rise of the global COVID-19 pandemic

The basic mechanisms of osteoporosis involve multiple complex biological processes