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In vitro, vinpocetine interacted with glutamate receptors [113], shifted glucose metabolism to more energy-efficient aerobic processes, and increased adenosine triphosphate (ATP) levels in the brain [114]

Main body This review (a) summarizes the effects of carnitines on female fertility along with the findings from various in vivo and in vitro studies involving human, animal and assisted reproductive technology, and (b) proposes their mechanism of actions in improving female fertility through their integrated actions on reducing cellular stress, maintaining hormonal balance and enhancing energy production

However, what about treatments that do both

This approach not only enhances local tumor suppression but also promotes systemic antitumor immunity (121123)