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This multifaceted process encompasses various factors, including anabolic resistance, mitochondrial dysfunction, oxidative stress, persistent low-grade inflammation, and compromised vascular perfusion of skeletal muscle ( As individuals age, the bidirectional communication between muscle and vascular systems becomes compromised, resulting in a reduction of capillary density, a decrease in the bioavailability of endothelial nitric oxide (NO), and an overall decline in muscle perfusionthese elements collectively contribute to the intensification of anabolic resistance and the acceleration of sarcopenic progression ( CIT, classified as a non-essential amino acid and a precursor to L-arginine, has been shown to facilitate the production of NO and promote vasodilation, consequently enhancing endothelial functionality and muscle perfusion ( This review is intended to investigate the integrative roles of CIT, leucine, and exercise in the modulation of musclevascular interactions, elucidating the underlying molecular mechanisms, and emphasizing their potential implications within the framework of healthy aging and personalized preventive approaches

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