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As a central component of the cell-to-cell and intracellular lactate shuttles, lactate ensures efficient energy distribution from its production sites such as glycolytic muscle fibers to oxidative tissues, including heart, brain, and oxidative muscle fibers, where it serves as a primary fuel for mitochondrial oxidative phosphorylation [233, 234]

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Effects of loop diuretics on carbohydrate metabolism and electrolyte excretion

This discovery reframed the entire field