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Patients with diagnosed diabetes should monitor glucose closely, as MOTS-cs insulin-sensitizing effects may potentiate hypoglycemia when combined with antidiabetic medications

Enhanced oxidative capacity may involve increased mitochondrial fatty acid uptake via carnitine palmitoyltransferase-1 (CPT-1), enhanced beta-oxidation enzyme expression, and modulation of uncoupling protein expression

Physical fitness is also closely linked to mental health, and regular physical activity has been shown to reduce anxiety and repetitive behaviours in autistic individuals

J Neurosci 16 : 19821989

Its hard to know for sure without more tests