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L-Carnitine is a potent antioxidant that can help to protect sperm from free radical damage which harms healthy sperm, interferes with healthy DNA, and can make conception challenging

Smith AD, Smith SM, de Jager CA, et al

The CDC-recognized Diabetes Prevention Program demonstrated that intensive lifestyle intervention reduces diabetes incidence, though weight regain over time is common without ongoing support

Potential Benefits: Skin Regeneration: May promote wound healing, collagen synthesis, and blood vessel growth

Adding tesamorelin to a retatrutide protocol could theoretically accelerate visceral fat reduction beyond what retatrutide achieves alone