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5 Conclusion Cisplatin is a highly effective and broad-spectrum anticancer drug, but its severe ototoxicity limits its clinical application, and its mechanism involves various pathways such as DNA damage, oxidative stress, inflammatory response, mitochondrial dysfunction, and ferroptosis

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This makes L-carnitine fumarate an exceptionally synergistic pairing for supporting heart muscle energy, optimizing systemic ATP synthesis, and improving metabolic flexibility in patients dealing with the overlapping complexities of Long COVID and diabetes

Regular physical activity, which provides stress-reducing effects through multiple mechanisms