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Patients with hyperbilirubinemia presented significantly lower erythrocyte counts and significantly higher reticulocyte counts compared to patients with low bilirubin levels [285]
In studies lasting 68 weeks, participants taking 412mg daily sometimes showed improved endurance, higher time-to-exhaustion scores, or smaller increases in creatine kinase an enzyme that rises with muscle damage.32 Not all trials find performance benefits, but those that do often include participants with lower baseline antioxidant intake or higher training loads.33 For now, researchers interpret the findings as preliminary evidence that astaxanthin may support recovery in situations where oxidative stress is high.38 Sleep and fatigue Researchers have begun exploring how carotenoid intake might relate to sleep quality
10.1016/j.tox.2006.06.008 38
Effects on non-obese healthy people Eleven studies measured the immunomodulatory effect of IF on healthy people, and some included assessment of body weight changes or metabolic differences (Table 1)
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