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Its up to you if youd like to supplement with L-carnitine on keto

A thorough assessment should include review of other medications (antidepressants, antihypertensives, and hormonal contraceptives commonly affect sexual function), evaluation for mood disorders including depression and anxiety, assessment of relationship factors and psychosocial stressors, and consideration of underlying medical conditions such as thyroid dysfunction, diabetes complications, or cardiovascular disease

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