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While the lack of significant differences in heart rate overall may suggest that L-carnitine does not directly affect the cardiovascular response, the early-stage reduction in heart rate supports the idea that supplementation could improve the body's ability to handle increasing workloads more efficiently (Table 3)
Estrogen-driven collagen decline accelerates during perimenopause, and substrate is typically already more depleted at baseline
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Yes, older patients might need special treatment plans
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