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The article's table says LDL and triglycerides may rise while HDL may decline during the perimenopause transition

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J Pediatr Gastroenterol Nutr 7:220224 Minkler PE, Hoppel CL (1993) Quantification of carnitine and specific acylcarnitines by high-performance liquid chromatography: application to normal human urine and urine from patients with methylmalonic aciduria, isovaleric acidemia or medium-chain acyl-CoA dehydrogenase deficiency

Furthermore, a comprehensive review published in the Journal of Translational Medicine proposed a unifying model for ME/CFS and Long COVID, highlighting how viral infections (like SARS-CoV-2 or Epstein-Barr Virus) trigger a cascade of immune exhaustion, micro-clotting, and severe oxidative stress

If you want a broader look at how antioxidants fit into wellness, our antioxidant education guide is a helpful place to start

And less commonly discussed effects like menstrual changes warrant attention for female users