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Vollenweider FX, Leenders KL et al (1997)

Compounded HRT becomes clinically relevant when FDA-approved options are insufficient for a specific patients situation

10.1038/s41386-020-00938-8 51

Carnitine levels and the ability to synthesize carnitine decline as we age [7], which may help explain why energy levels tend to dip and metabolic health tends to decline as we get older, even if all else remains pretty stable
