l-carnitine transports fatty acids to mitochondria into function SLC25A45 is required for mitochondrial uptake of methylated amino acids and de novo Role of Carnitine Shuttle System

She stresses that this caveat matters, as "peptides alone are unlikely to resolve telogen effluvium if the underlying trigger remains unaddressed

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Common side effects for women Water retention: More common in women Especially with GH peptides Usually temporary (first 2-4 weeks) Reduce salt intake, stay hydrated Fatigue (initial): First 1-2 weeks on GH peptides Body adjusting Improves quickly Lower dose if persistent Nausea (GLP-1s): Common with semaglutide/tirzepatide Women may be more sensitive Ginger helps Slow titration critical Headaches: Possible with any peptide Usually mild Hydration important Lower dose if frequent Hot flash interactions Do peptides affect hot flashes

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Chow et al., 2012