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As progesterone declines often one of the earliest hormonal shifts in perimenopause you may notice more difficulty winding down, more anxiety at bedtime and lighter, more fragmented sleep

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By binding to an acetyl group, it becomes a distinct piece within the carnitine pool: not just another carnitine, but a form studied for its role in the availability and exchange of acyl groups in various tissues

doi:10.12779/dnd.2018.17.1.1 [5] Rababah SY, Alzoubi KH, Hammad HM, Alquraan L, El-Salem K