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Endocr Rev 29(6):647676 Virmani MA, Cirulli M (2022) The role of l-carnitine in mitochondria, prevention of metabolic inflexibility and disease initiation

Those with heart disease or high risk should discuss supplementation with their cardiologist

Berberine has shown modest effects on blood sugar regulation and may support metabolic health during the transition

Reduce anti-androgenic food and contaminants There are some food compounds and environmental contaminants that have been shown to block the activity and sensitivity of androgen receptors, and therefore the testosterone impacts on the body: BPAs and phthalates found in plastics Pesticides High doses of quercetin Soy isoflavones, particularly genistein High doses of lycopene and other carotenoids Quercetin, genistein and lycopene are often used as complementary therapies in cases of prostate cancer, where androgen receptors are too sensitive