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In addition to aging, ovarian reserve may be decreased due to ovarian surgery, chemotherapy, radiation therapy, and certain genetic factors

The effect builds with titration, and many patients notice meaningful appetite reduction within the first two weeks

It promotes healthy cell regeneration, which leads to smoother, softer, and more luminous skin

Given the observed changes in the respiratory quotient and perceived exertion, further studies could also explore the underlying biochemical mechanisms responsible for these effects, such as the role of L-carnitine in mitochondrial function, fat oxidation, and glycogen preservation during prolonged exercise