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Several such trials and multiple systematic reviews through 2023 and 2024 show modest but statistically significant reductions in body weight, BMI, and fat mass with oral L-carnitine supplementation

Li, F., Huang, W., & Zhang, X

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Steinau M, Unger ER, Vernon SD, Jones JF, Rajeevan MS

Because the skin covers this area, the blood remains trapped, eventually appearing as a bruise

A GP can assess whether hormonal investigations are warranted for example, checking testosterone, oestrogen, thyroid function, or prolactin levels and can refer to an endocrinologist or sexual health specialist if appropriate