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Astaxanthin is considered one of the strongest antioxidants and helps combat premature cellular aging

demonstrated that L-CN supplementation reduced the levels of serum CRP (a marker of systemic inflammation) and plasma fibrinogen (an inflammation-associated coagulation factor) in patients who underwent hemodialysis 34 , increased total antioxidant capacity, and decreased IL-6 and TNF-, which were effective in decreasing inflammatory status 35

l-Carnitine fumarate is synthetically produced

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In general, it is considered a multifactorial metabolic disease characterized by several clinical manifestations such as hyperandrogenism, polycystic ovaries aspects on ultrasound and ovulatory dysfunctions which makes it the most common cause of anovulation infertility in women, but also from metabolic problems such as obesity, insulin resistance, hyperinsulinemia and type II diabetes which may enhance cardiovascular complications and other neurological and psychological implication such as anxiety and depression [2, 3]