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The federal Employee Retirement Income Security Act (ERISA) does not mandate it, and courts have largely sided with insurers on this issue most recently on February 19, 2026, when the U.S

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Effects of abnormal ATP metabolism in the TCA cycle on oocytes Healthy mitochondria produce ATP through the TCA cycle and oxidative phosphorylation, and ATP produced by the mitochondrial electron respiratory chain is a major source of energy for cellular biological activity

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Kumar R, Nayak M, Sahoo GC, Pandey K, Sarkar MC, Ansari Y, et al

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