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"Decreased libido is likely multifactorial, including caloric restriction, hormonal shifts and fatigue, and can be more pronounced in perimenopausal women," said Maccarone

(2000, November)

The medication's clearance mechanisms remain functional throughout long-term treatment, with no indication of saturation or impairment of metabolic pathways

Improved circulation and reduced inflammation also suggest benefits for the gut-brain axi, possibly easing brain fog, mood swings, and cognitive fatigue that plague so many patients