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Symptoms of Low Testosterone Can Include: Reduced sex drive and erectile dysfunction Loss of energy and fatigue Depression, irritability, and mood changes Loss of muscle mass and strength Weight gain, especially abdominal fat Diminished work performance and concentration Hair loss Reduction in bone density, increasing fracture risk Benefits of Testosterone Replacement Therapy Restoring testosterone levels with TRT can reverse many of these effects, improving quality of life

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The inhibitory effects of L-carnitine on MAPK phosphorylation provide for a decreased production of pro-inflammatory cytokines (Figure 3) [26]

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