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It transfers electrons from complex I (NADH NAD+) and complex II (succinate fumarate) to complex III

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Common symptoms include: Persistent fatigue despite adequate rest Decreased muscle mass and increased body fat Reduced mental clarity and decision-making speed Lower libido and sexual dysfunction Mood changes including irritability or depression Slower recovery from injuries or workouts Journal of Occupational and Environmental Medicine , law enforcement officers show significantly higher rates of metabolic syndrome and hormonal imbalances compared to age-matched civilian populations