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In female patients who still have regular periods, Dr

Hoffmann L, Waclawczyk MS, Tang S, Hanschmann EM, Gellert M, Rust MB, et al

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The optimal strategy involves progressive implementation: begin with carnitine integration for 2-4 weeks to establish baseline metabolic enhancement, then consider adding carnosine loading if additional buffering support is needed

Not all studies start from the same baseline and, in general, results are more consistent when there is a specific context (for example, risk of altered carnitine levels)

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