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They create energy (ATP), but this process also creates byproducts that can damage the mitochondria themselves

66 GuanX.LiX.YangX.YanJ.ShiP.BaL.et al (2019)

E., Winter, R

Common side effects occur in 32% of patients, including liver dysfunction with ALT elevations up to 311 IU/L, anaphylaxis, and acute kidney injury
