I'm often met with surprise when I mention creatine and L carnitine rather than just calcium for injury prevention in perimenopause & menopause. As estrogen declines, our bodies experience significant metabolic shifts in Carnitines as Mitochondrial Modulators of Oocyte and Embryo Bioenergetics L Carnitine 500 mg, 60 Caplets (1684) Puritan's Pride 17 Estradiol Directly Lowers Mitochondrial Membrane Microviscosity and Improves Bioenergetic Function in Skeletal Muscle ScienceDirect
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