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TRT is contraindicated or needs specialist clearance for men with prostate or breast cancer, an abnormal prostate exam or high PSA, high hematocrit (thick blood), untreated severe sleep apnea, uncontrolled heart failure, a recent heart attack or stroke, a clotting disorder, or those trying to conceive soon
Kalra et al., Fixed-dose combination in management of type 2 diabetes mellitus: Expert opinion from an international panel, J
Suda N, Cendejas Hernandez J, Poulton J, Jones JP, Konsoula Z, Smith C, et al
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My review of the available research seems to indicate that L-carnitine is considered a safe, affordable option but that, clearly, there is not a large or consistent enough body of evidence to make a strong claim for people living with NAFLD to consider this supplement a must
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