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A novel role for carnitine was recently discovered as potentially relevant to human health

From what's documented on his Joe Rogan podcast nicotine references, ZYN is the casual one he'll mention mid-conversation

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This angiogenic effect essentially builds new supply lines to areas that evolution left underserved, directly addressing one of the main reasons these injuries heal slowly

Thus, with a common pathophysiology, it could be considered a single condition, although individual patients have different genetic predispositions that feed into this vicious cycle (Figure 1)

Natural testosterone decline accelerates in the 40s and 50s, and for men who are also carrying excess weight, the aromatase-driven conversion of testosterone to estrogen makes the drop more pronounced