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K., Fang, C., et al

Supplementing with L-carnitine has been shown to enhance exercise performance, particularly in endurance sports, by increasing the rate at which fat is burned and reducing the reliance on glycogen stores

10.1093/HUMUPD/DMAD006 43 VassenaR.BouS.Gonzlez-RocaE.AranB.AuerH.VeigaA.et al (2011)

Step 2: Comprehensive Hormonal Evaluation Measuring hormone levels can help confirm suspicions of perimenopause, along with drawing connections between specific patterns in hormonal imbalances and the patient's symptomology