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Another study on dialysis patients found that carnitine injections helped sustain higher levels of oxygen use (improved endurance), such as during exercise and also reduced overall fatigue [41]

A rigorous longevity medicine evaluation covers hormones (testosterone, estrogen, progesterone, DHEA, thyroid, cortisol, growth hormone/IGF-1), metabolic markers (insulin, glucose, HbA1c, homocysteine), cardiovascular biomarkers (ApoB, Lp(a), hsCRP, triglycerides), inflammatory markers, micronutrient levels, and genetic and epigenetic assessments where indicated